Euell W Crisp, Md, PA

NPI #1710904891 in Alice, Texas

Provider Information

NPI Number: 1710904891
Entity Type: Organization
Organization Name: Euell W Crisp, Md, PA
Primary Specialty: General Practice
Enumeration Date: Jul 16, 2006
Last Updated: Dec 20, 2007

Practice Location

Address: 501 N REYNOLDS ST
City: Alice
State: Texas
ZIP Code: 78332-4643
Phone: (361) 664-7364

Authorized Official

Name: EUELL W CRISP, MD
Title: OWNER/DIRECTOR
Phone: (361) 579-0315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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