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Individual
THERESA D KRAUSE
Active
Individual
THERESA D KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L6236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121087
SUPERIOR
TX
05
—
160107204
—
TX
05
—
160107206
—
TX
05
—
164422102
—
TX
01
—
8P8110
BLUE CROSS BLUE SHIELD
TX
01
—
P00048265
RAILROAD MEDICARE
TX
Enumeration date
06/16/2006
Last updated
03/06/2025
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