Kruger, Ronni Serota

Kruger, Ronni Serota is an individual health care provider with primary practice located at 5101 Avenue H Suite 67, Rosenberg TX 77471-2025. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kruger, Ronni Serota can be contacted via phone (281) 342-7747.

Contact Information

Primary practice address
5101 Avenue H Suite 67 Rosenberg TX 77471-2025
Fax: (281) 342-4720
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4340T Texas

Profile Details

NPI number 1477624112
LBN Legal business name Kruger, Ronni Serota
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477624112 NPPES
Texas MEDICAID P082122E3

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