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JEFFERY KEITH KRUEGER M D P A NPI 1629344833


NPI Information

NPI: 1629344833
Provider Name: JEFFERY KEITH KRUEGER M D P A
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
8220 WALNUT HILL LN
STE. 206
DALLAS, TX
ZIP 75231
Phone: (214) 739-5760
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JEFFERY KEITH KRUEGER M D P A is a plastic and reconstructive surgery surgery in Dallas, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. JEFFERY KEITH KRUEGER M D P A NPI is 1629344833. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8220 WALNUT HILL LN
STE. 206
DALLAS, TX
ZIP 75231-427
Phone: (214) 739-5760
Fax: (214) 739-5966

The provider's authorized official is Jeffery Keith Krueger .
The authorized official title is President and has the following contact phone number (214) 739-5760.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 4/2/2012.


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
12086S0122XSurgeryPlastic and Reconstructive SurgeryK6769TEXASYes

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
100293QMEDICARE PINTEXAS

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: 4/28/2024

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