Riley Crandall, MD | |
2401 S 31st St # Ms 20d304, Temple, TX 76508-1702 | |
(254) 724-5306 | |
Not Available |
Full Name | Riley Crandall |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 2401 S 31st St # Ms 20d304, Temple, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255864567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 13137944-1205 (Utah) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Mountain West Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
Mailing Address | Practice Location Address |
---|---|
Riley Crandall, MD 2401 S 31st St # Ms 20d304, Temple, TX 76508-0001 Ph: (254) 724-5306 | Riley Crandall, MD 2401 S 31st St # Ms 20d304, Temple, TX 76508-1702 Ph: (254) 724-5306 |
Taylor Pohler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 832-928-0760 | |
Dr. Justin Michael Koenemann, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st., Temple, TX 76508 Phone: 254-724-2111 | |
Tyson Joseph Fillmore, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2401 S 31st St # Ms 20d304, Temple, TX 76508 Phone: 254-724-5306 | |
David Michel Cousineau, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dair Chevalier, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Sarah Tariq, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-724-5437 | |
Dr. Olen E. Kitchings Iii, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |