Provider Demographics
NPI:1073776993
Name:DOCTORS OF INTERNAL MEDICINE
Entity type:Organization
Organization Name:DOCTORS OF INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CROWDER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:972-785-4455
Mailing Address - Street 1:3545 HIGH VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-6054
Mailing Address - Country:US
Mailing Address - Phone:214-662-0210
Mailing Address - Fax:
Practice Address - Street 1:5941 DALLAS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-9002
Practice Address - Country:US
Practice Address - Phone:972-785-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX618212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP35235Medicare UPIN