LEE C CROCKER

AUSTIN, TX
NPI1255347530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA00233)
Enumeration Date2006-07-31
Last Update Date2011-04-29
Business Address
-- LEE C CROCKER PA
1807 W SLAUGHTER LN #490
AUSTIN, TX 78748-6208
Phone number: 512-282-8967
Mailing Address
-- LEE C CROCKER PA
PO BOX 26726
AUSTIN, TX 78755-0726
Phone number: 512-407-8686
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