Provider Demographics
NPI:1265546170
Name:CRAWFORD, COURTNEY MAURICE (MD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:MAURICE
Last Name:CRAWFORD
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2780 SW WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-8338
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2780 SW WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-8338
Practice Address - Country:US
Practice Address - Phone:817-378-4777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD45810207WX0107X
RIMD16947207WX0107X
ARE-12784207WX0107X
TN51239207WX0107X
CODR.0064347207WX0107X
MI4301501895207WX0107X
GA84595207WX0107X
KY53996207WX0107X
MA258189207WX0107X
NMMD2020-0353207WX0107X
NC2020-01277207WX0107X
AZ60219207WX0107X
OK35832207WX0107X
CT66760207WX0107X
TXQ7173207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist