Most Relevant Information
Provider Data
| NPI Number: | 1003221086 |
| Provider Name: | MIRANDA KAY CROWDER NNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LN0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP125652 |
Most Important Dates
| Enumeration Date: | 06/27/2014 |
| Last Updated: | 08/06/2014 |
Provider Practice Location
5201 HARRY HINES BLVD
DALLAS
TX
752357708
Practice Location Phone/Fax
| Phone: | 2145906500 |
| Fax: |
Provider Mailing Location
301 LOCKHURST DR
ANNA
TX
754095185
Provider Mailing Phone/Fax
| Phone: | 2147337088 |
| Fax: |