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CHARLENE CROCKETT MD NPI 1720379316


NPI Information

NPI: 1720379316
Provider Name: CHARLENE CROCKETT, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Organization: BAYLOR COLLEGE OF MEDICINE

PECOS Registration: Yes

Address:
2727 W HOLCOMBE BLVD
HOUSTON, TX
ZIP 77025
Phone: (713) 442-0000
Get Directions

Charlene Crockett, MD is an ophthalmology in Houston, TX with 10 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Charlene Crockett, MD NPI is 1720379316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

2727 W HOLCOMBE BLVD
HOUSTON, TX
ZIP 77025-669
Phone: (713) 442-0000

The NPI 1720379316 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2011 and was last updated on 6/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyP9827TEXASYes
2207W00000XOphthalmologyMD459666PENNSYLVANIANo
3207W00000XOphthalmology75772GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1349043503MEDICAIDTEXAS
2349043505MEDICAIDTEXAS
3349043504MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.