Provider profile

Individual

Keith Robert Crandall

Podiatrist in Tyler, TX. NPI 1104125780, listed in the CMS NPI Registry since 03/21/2011. Bills Medicare.

NPI 1104125780Specialty PodiatristEnumerated 03/21/2011
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Registry and Medicare facts

Practice location
1605 Stafford Dr, Tyler, TX 75703
CMS NPI Registry
Phone
(903) 941-9247
CMS NPI Registry
Specialty
Podiatrist
CMS NPI Registry
Subspecialty
Foot & Ankle Surgery
CMS NPI Registry
Enumeration date
03/21/2011
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
2,593 Part B
CMS Medicare 2024

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