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Contact Information

BENJAMIN M CRANDALL, DO
815 PENNSYLVANIA AVE
FORT WORTH, TX76104-2224
 Phone: 817-321-0937
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for BENJAMIN M CRANDALL · (Male)

NPI Number 1255306312
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/22/2006
Last updated 10/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • TX License # L4896
Hospital affiliation(s)
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS - (Acute Care)
    8200 WALNUT HILL LANE
    DALLAS, TX 75231
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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