| Crowne Diagnostics | |
|
300 State St # 93504 Southlake TX 76092-7668 | |
| (817) 929-6051 | |
| (817) 442-8618 |
| Full Name | Crowne Diagnostics |
|---|---|
| Speciality | Clinic/center |
| Location | 300 State St # 93504, Southlake, Texas |
| Authorized Official Name and Position | Joe Morrow (CEO) |
| Authorized Official Contact | 8179296051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crowne Diagnostics Po Box 93504 Southlake TX 76092-0114 Ph: (817) 929-6051 | Crowne Diagnostics 300 State St # 93504 Southlake TX 76092-7668 Ph: (817) 929-6051 |
| NPI Number | 1871812594 |
|---|---|
| Provider Enumeration Date | 05/20/2010 |
| Last Update Date | 05/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871812594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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