MICHAEL E KRUCZEK M.D. NPI 1639188196

NPI Information

NPI: 1639188196
Provider Name: MICHAEL E KRUCZEK, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
10007 HUEBNER RD STE 203
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 615-7480
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Michael E Kruczek, M.D. is a specialist in San Antonio, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Michael E Kruczek, M.D. NPI is 1639188196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10007 HUEBNER RD STE 203
SAN ANTONIO, TX
ZIP 78240-646
Phone: (210) 615-7480
Fax: (210) 614-4972

The enumeration date for this NPI number is 8/5/2006 and was last updated on 1/14/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		F4181	TEXAS	No
2	174400000X	Specialist		F4181	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	130267102	MEDICAID	TEXAS
2	00070G	MEDICARE PIN	TEXAS
3	00RD41	OTHER	TEXAS	BLUE CROSS BLUE SHIELD TX

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

NPI Synchronization or Removal

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