Individual
MR. JERRY ELLIOTT KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE #561, SAN ANTONIO, TX 78212-5668
(210) 227-9376
(210) 227-0916
Mailing address
1303 MCCULLOUGH AVE, SUITE #561, SAN ANTONIO, TX 78212-5668
(210) 227-9376
(210) 227-0916
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E4464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101951502
—
TX
Enumeration date
09/13/2006
Last updated
07/06/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us