Provider Demographics
NPI:1659613099
Name:CRANE, ANDREW (M ED, ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:CRANE
Suffix:
Gender:M
Credentials:M ED, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RELIANT PARK
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1573
Mailing Address - Country:US
Mailing Address - Phone:832-667-2298
Mailing Address - Fax:
Practice Address - Street 1:2 RELIANT PARK
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1573
Practice Address - Country:US
Practice Address - Phone:832-667-2298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT43472081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine