| Ronald K Mccraw, Phd, Do, Pa | |
|
2300 Highway 365 Suite 610 Nederland TX 77627-6256 | |
| (409) 727-8007 | |
| (409) 727-8033 |
| Full Name | Ronald K Mccraw, Phd, Do, Pa |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 2300 Highway 365, Nederland, Texas |
| Authorized Official Name and Position | Ronald Kent Mccraw (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4097278007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald K Mccraw, Phd, Do, Pa 2300 Highway 365 Suite 610 Nederland TX 77627-6256 Ph: (409) 727-8007 | Ronald K Mccraw, Phd, Do, Pa 2300 Highway 365 Suite 610 Nederland TX 77627-6256 Ph: (409) 727-8007 |
| NPI Number | 1619105079 |
|---|---|
| Provider Enumeration Date | 06/24/2009 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619105079 | NPI | - | NPPES |
| 126999502 | Medicaid | TX | |
| 126999503 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 23171 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | J0112 (Texas) | Primary |
| 208000000X | Pediatrics | J0112 (Texas) | Secondary |
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