Crowley, Kathleen
Crowley, Kathleen is an individual health care provider with primary practice located at 1201 S Main St Fl 4 , Fort Worth TX 76104-4804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Crowley, Kathleen can be contacted via phone (817) 702-6500.Contact Information
Primary practice address
1201 S Main St Fl 4
Fort Worth TX 76104-4804
Phone: (817) 702-6500
Fax: (817) 702-6561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G4942 | Texas |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | G4942 | Texas |
Profile Details
| NPI number | 1063428126 |
|---|---|
| LBN Legal business name | Crowley, Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Sep 7th, 2022 - about 3 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 | 1063428126 | NPPES |
| Texas | Other | 8B5599 | BCBS |
| Texas | Other | P00312848 | BCBS |
| Texas | MEDICAID | 128094307 | BCBS |
| Texas | MEDICAID | 128094306 | BCBS |
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