Craytor, Bret F
Craytor, Bret F is an individual health care provider with primary practice located at 2600 Saint Michael Dr , Texarkana TX 75503-5220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Craytor, Bret F can be contacted via phone (903) 614-5111.Contact Information
Primary practice address
2600 Saint Michael Dr
Texarkana TX 75503-5220
Phone: (903) 614-5111
Fax: (903) 614-5114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | J8974 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | E0731 | Arkansas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 16975 | Oklahoma |
Profile Details
| NPI number | 1649270539 |
|---|---|
| LBN Legal business name | Craytor, Bret F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | May 20th, 2010 - about 14 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 | 1649270539 | NPPES |
| Arkansas | MEDICAID | 130592001 | |
| Arkansas | MEDICAID | 10090430C | |
| Arkansas | MEDICAID | 100706402 |
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