Provider Demographics
NPI:1699969857
Name:CROWLEY, LEO M (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:LEO
Middle Name:M
Last Name:CROWLEY
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:PO BOX 670492
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75367-0492
Mailing Address - Country:US
Mailing Address - Phone:214-739-8675
Mailing Address - Fax:214-368-2238
Practice Address - Street 1:5953 WALNUT HILL LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-5013
Practice Address - Country:US
Practice Address - Phone:214-739-8675
Practice Address - Fax:214-368-2238
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG6281202C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner