Provider Demographics
NPI:1811632417
Name:CRANE, TIANA
Entity type:Individual
Prefix:
First Name:TIANA
Middle Name:
Last Name:CRANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1252
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-1252
Mailing Address - Country:US
Mailing Address - Phone:469-548-4897
Mailing Address - Fax:
Practice Address - Street 1:1106 MAVERICK WAY
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-9768
Practice Address - Country:US
Practice Address - Phone:469-548-4897
Practice Address - Fax:469-716-4856
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory