Crotty, Karen L
Crotty, Karen L is an individual health care provider with primary practice located at 1300 W Terrell Ave Ste 400 , Fort Worth TX 76104-2829. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Crotty, Karen L can be contacted via phone (817) 250-7247.Contact Information
Primary practice address
1300 W Terrell Ave Ste 400
Fort Worth TX 76104-2829
Phone: (817) 250-7247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 12512R | Louisiana |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | H7007 | Texas |
Profile Details
| NPI number | 1912905688 |
|---|---|
| LBN Legal business name | Crotty, Karen L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Aug 16th, 2023 - about last year |
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 | 1912905688 | NPPES |
| Louisiana | MEDICAID | 1537489 | |
| Louisiana | Other | 340015057 | |
| Louisiana | Other | 1900173 | |
| Louisiana | Other | 2000760 | |
| Louisiana | Other | 2317825001 |
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