Individual
JANET KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4421 HIGHWAY 6 S STE 100, COLLEGE STATION, TX 77845-6176
(979) 731-5200
(979) 731-5210
Mailing address
2800 S TEXAS AVE, STE 202, BRYAN, TX 77802-5361
(979) 774-2053
(979) 776-5914
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
K1230
TX
207Q00000X
Family Medicine Physician
K1230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113489209
—
TX
Enumeration date
05/04/2006
Last updated
11/29/2018
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