Provider Demographics
NPI:1548294531
Name:CRUMP, MONICA E (MD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:E
Last Name:CRUMP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:CRUMP
Other - Last Name:BALDRIDGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 200903
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77216-0903
Mailing Address - Country:US
Mailing Address - Phone:281-252-9993
Mailing Address - Fax:281-252-9997
Practice Address - Street 1:920 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 340
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3260
Practice Address - Country:US
Practice Address - Phone:713-897-2864
Practice Address - Fax:713-897-2548
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7128208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
I61270Medicare UPIN
TX8K2560Medicare PIN