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Organization
SHAUN KRETZSCHMAR DO PA
Active
Organization
SHAUN KRETZSCHMAR DO PA
Active
Parent organization
SHAUN KRETZSCHMAR DO PA
Other names
Aledo Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAUN KRETZSCHMAR DO PA
Authorized official
DR. SHAUN HARDING KRETZSCHMAR D.O. (OWNER/PHYSICIAN)
(817) 614-6878
Entity
Organization
Contact information
Practice address
317 N FM 1187, ALEDO, TX 76008-4200
(817) 441-7181
(817) 441-7893
Mailing address
317 N FM 1187, ALEDO, TX 76008-4200
(817) 441-7181
(817) 441-7893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J1940
TX
207Q00000X
Family Medicine Physician
Primary
J9140
TX
Other
Enumeration date
10/25/2015
Last updated
08/28/2024
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