Provider Demographics
NPI:1760169734
Name:CROWSON, JANE CLOUD (PA-C)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:CLOUD
Last Name:CROWSON
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-648-4180
Mailing Address - Fax:214-648-1955
Practice Address - Street 1:5323 HARRY HINES BLVD STOP 7200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9090
Practice Address - Country:US
Practice Address - Phone:214-648-4180
Practice Address - Fax:214-648-1955
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA18705363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant