Provider Demographics
NPI:1104054931
Name:CRYER, TOMMY MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:TOMMY
Middle Name:MICHAEL
Last Name:CRYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 N LONGSPUR DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2667
Mailing Address - Country:US
Mailing Address - Phone:281-435-9242
Mailing Address - Fax:
Practice Address - Street 1:9 N LONGSPUR DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2667
Practice Address - Country:US
Practice Address - Phone:281-435-9242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2528207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine