Provider Demographics
NPI:1518965466
Name:CROWDER, WILLIAM E JR (M D)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:CROWDER
Suffix:JR
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8850 SIX PINES DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2688
Mailing Address - Country:US
Mailing Address - Phone:281-367-6836
Mailing Address - Fax:281-367-5545
Practice Address - Street 1:2315 MYRTLE ST STE 290
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-4609
Practice Address - Country:US
Practice Address - Phone:814-452-5504
Practice Address - Fax:814-452-5514
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4278174400000X
PA446152207V00000X
PAMD446152207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX57151OtherAMERICAID
TX8J1221OtherBCBS PROVIDER #
TX2843743-019OtherCIGNA
TX2843743-020OtherCIGNA
TX4204553OtherAETNA PPO
TX3231588OtherAETNA HMO
TX047470204Medicaid
TX2843743-021OtherCIGNA
TX2843743-021OtherCIGNA
TX8J1221OtherBCBS PROVIDER #