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Dr. Michele Marie Crockett, MD
Diagnostic Radiology Physician in Texarkana, Texas
NPI 1134139983

Michele Marie Crockett is a Diagnostic Radiology Physician based in Texarkana, TX and is specialized in Diagnostic Radiology. Michele Marie Crockett practices in Texarkana, TX and has the professional credentials of MD. The NPI Number for Michele Marie Crockett is 1134139983 and holds a License No. MD.200782 (Texas).

The current practice location address for Michele Marie Crockett is 5002 Cowhorn Creek Rd, Texarkana, TX and can be reached out via phone at 903-614-3000.

Location: 5002 Cowhorn Creek Rd, Texarkana, TX, 75503-9766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134139983
Provider Name
Michele Marie Crockett
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5002 Cowhorn Creek Rd, Texarkana, TX, 75503-9766
Phone Number
903-614-3000
Fax Number
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5901422 05 NC
institution
Provider Business Practice Location Address Details
Address
5002 Cowhorn Creek Rd
City
Texarkana
State
Texas
Zip
75503-9766
Phone Number
903-614-3000
Fax Number
person
Provider Business Mailing Address Details
Address
5002 Cowhorn Creek Rd
City
Texarkana
State
Texas
Zip
75503-9766
Phone Number
903-614-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD.200782 (Louisiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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