Organization
MYRON I. KRUPP, D.P.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRON I KRUPP D.P.M. (PRESIDENT)
(817) 284-8271
Entity
Organization
Contact information
Practice address
7208 GLENVIEW DR, RICHLAND HILLS, TX 76180-8693
(817) 284-8271
(817) 284-2940
Mailing address
7208 GLENVIEW DR, RICHLAND HILLS, TX 76180-8693
(817) 284-8271
(817) 284-2940
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
0332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F160
BLUE CROSS
TX
Enumeration date
02/15/2008
Last updated
02/15/2008
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