Provider Demographics
NPI:1730381211
Name:CROSBIE, CARRIE FRANCES (LMT, MMP, MTI)
Entity type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:FRANCES
Last Name:CROSBIE
Suffix:
Gender:F
Credentials:LMT, MMP, MTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 HARWOOD RD
Mailing Address - Street 2:127
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-1706
Mailing Address - Country:US
Mailing Address - Phone:214-704-9309
Mailing Address - Fax:
Practice Address - Street 1:2516 HARWOOD RD
Practice Address - Street 2:STE 127
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-1706
Practice Address - Country:US
Practice Address - Phone:214-704-9309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT019842174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist