SHAUN KRETZSCHMAR DO PA NPI 1912379322

NPI Information

  • NPI: 1912379322
  • Provider Name: SHAUN KRETZSCHMAR DO PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: ALEDO FAMILY MEDICINE
  • CLIA Number: 45D0888958
  • Address: 317 N FM 1187
    ALEDO, TX
    ZIP 76008
  • Phone: (817) 441-7181

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NPI Details

SHAUN KRETZSCHMAR DO PA is a family medicine in Aledo, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHAUN KRETZSCHMAR DO PA NPI is 1912379322. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aledo Family Medicine.

The provider's business location address is:

317 N FM 1187
ALEDO, TX
ZIP 76008-200
Phone: (817) 441-7181
Fax: (817) 441-7893

The provider's authorized official is Shaun Harding Kretzschmar .
The authorized official title is Owner/physician and has the following contact phone number (817) 614-6878.

The CLIA number assigned to this NPI record is 45D0888958 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2015 and was last updated on 8/28/2024.

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
1207Q00000XFamily MedicineJ9140TEXASYes
2207Q00000XFamily MedicineJ1940TEXASNo

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: 11/21/2025

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