Cravey, Russell S

Cravey, Russell S is an individual health care provider with primary practice located at 1001 Water St Ste. E100, Kerrville TX 78028-3523. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cravey, Russell S can be contacted via phone (830) 257-4417.

Contact Information

Primary practice address
1001 Water St Ste. E100 Kerrville TX 78028-3523
Phone: (830) 257-4417
Fax: (830) 257-1480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X J6394 Texas

Profile Details

NPI number 1205990207
LBN Legal business name Cravey, Russell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Mar 18th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205990207 NPPES
Texas Other 8A7630 BCBS
Texas Other P00158163 BCBS
Texas MEDICAID 122036005 BCBS

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