Pepper, Kraig Robert

Pepper, Kraig Robert is an individual health care provider with primary practice located at 6930 Harris Pkwy Ste 130 , Fort Worth TX 76132-4272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Pepper, Kraig Robert can be contacted via phone (817) 632-0020.

Contact Information

Primary practice address
6930 Harris Pkwy Ste 130 Fort Worth TX 76132-4272
Phone: (817) 632-0020
Fax: (817) 632-0022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X N1060 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X N1060 Texas

Profile Details

NPI number 1568444107
LBN Legal business name Pepper, Kraig Robert
Credentials DO PA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated May 17th, 2024 - about 4 months 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 1568444107 NPPES
Texas MEDICAID 203808502
Texas MEDICAID 101210471
Texas MEDICAID 30884110

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