Krause, Theresa D
Krause, Theresa D is an individual health care provider with primary practice located at 4401 Highway 6 S , College Station TX 77845-4428. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Krause, Theresa D can be contacted via phone (979) 690-4480.Contact Information
Primary practice address
4401 Highway 6 S
College Station TX 77845-4428
Phone: (979) 690-4480
Fax: (979) 690-4481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L6236 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L6236 | Texas |
Profile Details
| NPI number | 1679517825 |
|---|---|
| LBN Legal business name | Krause, Theresa D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Sep 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679517825 | NPPES |
| Texas | Other | 121087 | SUPERIOR |
| Texas | MEDICAID | 164422102 | SUPERIOR |
| Texas | Other | 8P8110 | SUPERIOR |
| Texas | MEDICAID | 160107204 | SUPERIOR |
| Texas | MEDICAID | 160107206 | SUPERIOR |
| Texas | Other | P00048265 | SUPERIOR |
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