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GRANT A CRAIG MD PA NPI 1356512842


NPI Information

NPI: 1356512842
Provider Name: GRANT A CRAIG MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2206268

Address:
2801 N LOY LAKE RD
SHERMAN, TX
ZIP 75090
Phone: (903) 957-0190
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GRANT A CRAIG MD PA is a family medicine in Sherman, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRANT A CRAIG MD PA NPI is 1356512842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2801 N LOY LAKE RD
SHERMAN, TX
ZIP 75090-726
Phone: (903) 957-0190

The provider's authorized official is Cathy L Cobb .
The authorized official title is Office Manager and has the following contact phone number (903) 957-0190.

The CLIA number assigned to this NPI record is 45D2206268 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 9/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineH0270TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100978YMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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