Provider Demographics
NPI:1316956444
Name:CROWTHER, ALAN P (MD, RVS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:P
Last Name:CROWTHER
Suffix:
Gender:M
Credentials:MD, RVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 DATAPOINT DR STE 600
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5907
Mailing Address - Country:US
Mailing Address - Phone:210-616-7700
Mailing Address - Fax:210-616-7709
Practice Address - Street 1:8401 DATAPOINT DR STE 600
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5907
Practice Address - Country:US
Practice Address - Phone:210-616-7700
Practice Address - Fax:210-616-7709
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9695208D00000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG9695OtherTEXAS MEDICAL LICENSE
TXP01416195OtherRAILROAD MEDICARE
TX1363731-12Medicaid
TX1363731-11Medicaid
TXP01416235OtherRAILROAD MEDICARE
TX1363731-10Medicaid
TXG9695OtherTEXAS MEDICAL LICENSE
TX1363731-10Medicaid