Provider Demographics
NPI:1649532912
Name:CRANFORD, CARLTON CRAIG (DPM)
Entity type:Individual
Prefix:DR
First Name:CARLTON
Middle Name:CRAIG
Last Name:CRANFORD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 US HWY 75 STE 205
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4635
Mailing Address - Country:US
Mailing Address - Phone:903-651-5023
Mailing Address - Fax:800-461-9841
Practice Address - Street 1:5012 S US HIGHWAY 75 STE 205
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4635
Practice Address - Country:US
Practice Address - Phone:903-651-5023
Practice Address - Fax:800-461-9841
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LADPM.200046213ES0103X
FLPO4266213ES0103X
TX2049213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX293340YSYFMedicare PIN