Provider Demographics
NPI:1093550063
Name:CRAIG CRANFORD DPM PLLC
Entity type:Organization
Organization Name:CRAIG CRANFORD DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLTON
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:CRANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:601-310-0053
Mailing Address - Street 1:5012 S US HIGHWAY 75 STE 205
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4635
Mailing Address - Country:US
Mailing Address - Phone:903-615-5023
Mailing Address - Fax:
Practice Address - Street 1:5012 S US HIGHWAY 75 STE 205
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4635
Practice Address - Country:US
Practice Address - Phone:903-615-5023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle SurgeryGroup - Multi-Specialty