Crutchley, Teresa Ann

Crutchley, Teresa Ann is an individual health care provider with primary practice located at 6800 W Ih 10 Suite 130, San Antonio TX 78201-2038. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Crutchley, Teresa Ann can be contacted via phone (210) 932-1487.

Contact Information

Primary practice address
6800 W Ih 10 Suite 130 San Antonio TX 78201-2038
Fax: (210) 932-1951
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2006-00871 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD2003-0671 New Mexico
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X N2045 Texas

Profile Details

NPI number 1760492102
LBN Legal business name Crutchley, Teresa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jun 15th, 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 1760492102 NPPES
Texas Other 8DC256 BCBSTX
Texas MEDICAID 201160305 BCBSTX

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