Provider Demographics
NPI:1669536371
Name:CROWSON, JAMES D (CRNA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:CROWSON
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:CROWSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:6606 LBJ FWY
Practice Address - Street 2:SUITE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX687894367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8342UGOtherBCBS
TXP01445798OtherRAILROAD
TX190820409Medicaid
TX8342UGOtherBCBS
TX8J9126Medicare PIN
TXP00693376OtherRAILROAD
TX262137YK6UMedicare PIN