Provider Demographics
NPI:1558314245
Name:CRAMER, ALAN THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:THOMAS
Last Name:CRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 2555
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497
Mailing Address - Country:US
Mailing Address - Phone:713-790-0000
Mailing Address - Fax:713-790-1212
Practice Address - Street 1:6560 FANNIN STREET
Practice Address - Street 2:SUITE 1712
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-790-0000
Practice Address - Fax:713-790-1212
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD08392086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
00H677OtherBLUE CROSS
00H677OtherBLUE CROSS