Provider Demographics
NPI:1508863804
Name:CRAWFORD, KAREN O (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:O
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5304 DECKER DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-1414
Mailing Address - Country:US
Mailing Address - Phone:281-286-1991
Mailing Address - Fax:281-424-2475
Practice Address - Street 1:5304 DECKER DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-1414
Practice Address - Country:US
Practice Address - Phone:281-424-4593
Practice Address - Fax:281-424-2475
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX162541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice