Debra a Crawford, DO LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4396 Issued in OK

Legal business name

DEBRA A CRAWFORD, DO LLC

Practice address

4417 W Gore Blvd
Ste 3
Lawton, OK 73505-5978

Phone

(580) 357-1002

Fax

(580) 357-1004

NPI assigned

Aug 5, 2009

Last updated

Aug 5, 2009By 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

Dr. Debra A Crawford, DO LLC

Title

Physician

Phone

(580) 357-1002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1790916922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 W GORE BLVD",
            "address_2": "STE 3",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055978",
            "telephone_number": "580-357-1002",
            "fax_number": "580-357-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 W GORE BLVD",
            "address_2": "STE 3",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055978",
            "telephone_number": "580-357-1002",
            "fax_number": "580-357-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA A CRAWFORD, DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-357-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO LLC"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "4396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.