Provider Demographics
NPI:1790774958
Name:CROWE, ROBERT FRANKLIN (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANKLIN
Last Name:CROWE
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Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:802 S 10TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-4659
Mailing Address - Country:US
Mailing Address - Phone:337-239-2207
Mailing Address - Fax:337-239-2583
Practice Address - Street 1:802 S 10TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-4659
Practice Address - Country:US
Practice Address - Phone:337-239-2207
Practice Address - Fax:337-239-2583
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2011-03-14
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Provider Licenses
StateLicense IDTaxonomies
LA200653208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1584339Medicaid
I55653Medicare UPIN
LA1584339Medicaid