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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205990207 | NPPES |
| Texas | Other | 8A7630 | BCBS |
| Texas | Other | P00158163 | BCBS |
| Texas | MEDICAID | 122036005 | BCBS |
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