Radford, Craig Michael
Radford, Craig Michael is an individual health care provider with primary practice located at 1720 South Beckham , Tyler TX 75701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Radford, Craig Michael can be contacted via phone (903) 595-5101.Contact Information
Primary practice address
1720 South Beckham
Tyler TX 75701
Phone: (903) 595-5101
Fax: (903) 597-2314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | H3734 | Texas |
Profile Details
| NPI number | 1053324343 |
|---|---|
| LBN Legal business name | Radford, Craig Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Oct 14th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053324343 | NPPES |
| Texas | MEDICAID | 129617007 |
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