Crawford, Fara Lynn

Crawford, Fara Lynn is an sole proprietor health care provider with primary practice located at 6600 Fish Pond Rd Ste 101 , Waco TX 76710-2582. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Crawford, Fara Lynn can be contacted via phone (254) 776-3188.

Contact Information

Primary practice address
6600 Fish Pond Rd Ste 101 Waco TX 76710-2582
Phone: (254) 776-3188
Fax: (254) 776-3607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04837 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA04837 Texas

Profile Details

NPI number 1902814544
LBN Legal business name Crawford, Fara Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Apr 26th, 2012 - about 12 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 1902814544 NPPES
Texas MEDICAID 280585501
Texas Other PA04837
Texas MEDICAID 280585502
Texas MEDICAID 280585503

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