BERNARD L. CROSBY, MD PA
Medical Practice at 34 St, Austin, TX

License number
Texas F6550
Category
Medical Practice
Type
Specialist
Owner
Name: DR. BERNARD L CROSBY MD
Title: OWNER
Phone: (512) 454-5821
Address
Address
800 W 34Th St STE 201, Austin, TX 78705
National Provider ID: 1962537951
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BERNARD L. CROSBY, M.D. PA

800 W 34 St STE 201, Austin, TX 78705

Status:
Inactive
Doing business as:
Bernard L. Crosby, M.D. PA
Registration:
Jan 19, 2007
State ID:
0800762942
Business type:
Professional Association
President, Treasurer, Secretary, Member, Vice-President, Executive Committee:
Bernard L. Crosby President, Treasurer, Secretary, Member, Vice-President, Executive Committee, inactive
Agent:
Bernard L Crosby,800 W 34 St STE 201, Austin, TX 78705 (Physical)
TIN:
12083694245

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