Crockett, Donald Edwin

Crockett, Donald Edwin is an individual health care provider with primary practice located at 2405 W Missouri Ave , Midland TX 79701-6800. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Crockett, Donald Edwin can be contacted via phone (432) 697-1061.

Contact Information

Primary practice address
2405 W Missouri Ave Midland TX 79701-6800
Phone: (432) 697-1061
Fax: (432) 697-7089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E6294 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X E6294 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X E6294 Texas

Profile Details

NPI number 1497708291
LBN Legal business name Crockett, Donald Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Apr 15th, 2015 - about 9 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 1497708291 NPPES
Texas Other 770001753 MEDICARE RAILROAD
Texas Other 111016100 MEDICARE RAILROAD
Texas Other 84340G MEDICARE RAILROAD
Texas MEDICAID P081870J8 MEDICARE RAILROAD
Texas MEDICAID 000J3027 MEDICARE RAILROAD
Texas Other 81870J MEDICARE RAILROAD

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