Provider Demographics
NPI:1205234986
Name:CREW CARE ENERGY, INC.
Entity type:Organization
Organization Name:CREW CARE ENERGY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-566-0961
Mailing Address - Street 1:1180 SETON PARKWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6179
Mailing Address - Country:US
Mailing Address - Phone:855-273-9227
Mailing Address - Fax:830-469-4044
Practice Address - Street 1:2843 S. HWY 83
Practice Address - Street 2:C/O MESQUITE LODGE
Practice Address - City:CARRIZO SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78834
Practice Address - Country:US
Practice Address - Phone:855-273-9227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty