Dr. Charles D. Crum, MD
Radiology, Diagnostic Radiology in Tyler, TX. Individual provider (NPI-1).
NPI number1487828596
StatusActive
Last updated in NPPESNov 13, 2020
Details
- NPI
- 1487828596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles D. Crum
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2008
- Certification date
- Nov 13, 2020
- Last updated
- Nov 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | N4997 | TX | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 81062 | AZ |
Practice location
627 Turtle Creek DrTyler, TX 75701-1832
Phone 903-593-2539 · Fax 903-593-0559
Mailing address
816 W Cannon StFort Worth, TX 76104-3146
Phone 817-321-0404
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