FARA LYNN CRAWFORD


Address: 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582
Phone: 2547763188

FARA LYNN CRAWFORD (NPI# 1902814544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902814544
Entity Type Individual
Full Name FARA LYNN CRAWFORD
Credential PA-C
Practice Address 6600 Fish Pond Rd Ste 101
Waco
TX 76710-2582
Practice Telephone 2547763188
Practice Fax Number 2547763607
Mailing Telephone 2547763188
Mailing Fax Number 2547763607
Enumeration Date 2006-08-03
Last Update Date 2012-04-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA04837 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA04837 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 280585501 05
TX 280585502 05
TX 280585503 05
TX STATE LICENSE PA04837 01

Office Location

Street Address 6600 FISH POND RD STE 101
City WACO
State TX
Zip Code 76710-2582

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205192994 Paul Michael Claiborne Surgery 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 2012-04-06
1134265580 Josh Harris Goldstrich Surgery 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 2007-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740741156 Jessica Cook-lindsay Physical Therapist 2121 W Hwy 6, Waco, Waco, TX 76710 2019-03-28
1306354824 Paula A Huffhines Technician, Other 115 S 25th, Waco, TX 76710 2018-01-18
1982154639 Nha Do Pharmacist 1301 Wood Acres, Waco, TX 76710 2016-10-06
1649662495 Pediatric Advanced Life Services Home Health LLC Home Health 3640 W Waco Dr, Waco, TX 76710 2015-03-02
1881008795 Soumava Sen, Dds, P.C. Dentist 4215 Franklin Ave, Ste. 300, Waco, TX 76710 2014-06-18
1053742221 Dustin Dwain Kelm Physical Therapist 5400 Laurel Dr., Waco, TX 76710 2013-12-12
1881038776 Penelope Diane Lane Counselor 7524 Bosque, Waco, TX 76710 2013-04-22
1538400627 Erik Alexander Pernes Caluscusao Physical Therapist 415 Owen Ln Apt 911, Waco, TX 76710 2013-03-14
1447509039 Sheree L Mach Occupational Therapist 5400 Laurel Lake Dr., Waco, TX 76710 2012-08-29
1568738425 Ramanathan Anandaraman Internal Medicine 2608 Skyline Drive, Waco, TX 76710 2012-03-26
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245871052 Elizabeth Leverson Physician Assistant 3912 Austin Ave, Waco, TX 76710-7127 2019-10-02
1063763225 Jamie Lynn Laird Physician Assistant 5400 Crosslake Pkwy Ste 300, Waco, TX 76712 2012-09-27
1215116652 Michael Paul Fichter Jr. Physician Assistant 7125 New Sanger Rd Ste A, Waco, TX 76712-4054 2007-11-02
1710090170 Anthony B Balchunas Physician Assistant 601 W State Hwy 6, Ste 105, Waco, TX 76710-5575 2006-08-17
1316966286 Donald Eugene Hicks Physician Assistant 4205 Franklin Ave, Waco, TX 76710 2006-07-19
1497711105 Mark D Roberts Physician Assistant 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 2006-04-21
1073577953 Richard James Hecker Physician Assistant 1226 Washington Ave, Waco, TX 76701-1127 2006-04-17
1669448718 Patricia Ann Goaley Physician Assistant 1445 Stillwater Rd, Waco, TX 76708-7612 2006-02-28
1992771927 Ashley Glover Baker Physician Assistant 50 Hillcrest Medical Blvd Ste 206, Waco, TX 76712-8954 2006-02-28
1710514302 Bettie Degracia Physician Assistant 405 Londonderry Dr Ste 311, Waco, TX 76712-7922 2020-03-24
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Competitor

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City WACO
Zip Code 76710

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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