Euell W Crisp, MD, PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EUELL W CRISP, MD, PA

Practice address

501 N Reynolds St
Alice, TX 78332-4643

Phone

(361) 664-7364

NPI assigned

Jul 16, 2006

Last updated

Dec 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Euell W Crisp, MD

Title

Owner/Director

Phone

(361) 579-0315

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1710904891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N REYNOLDS ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324643",
            "telephone_number": "361-664-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N REYNOLDS ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324643",
            "telephone_number": "361-664-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUELL W CRISP, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "EUELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "361-579-0315",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0057MN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Alice, TX
• Providers in Alice, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.