Individual
DR. GERALD ANTHONY KRUPP
Active
Individual
DR. GERALD ANTHONY KRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J1103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050064796
RAILROAD
TX
05
—
128383001
—
TX
05
—
128383005
—
TX
05
—
128383006
—
TX
05
—
128383007
—
TX
05
—
128383008
—
TX
05
—
128383009
—
TX
01
—
84722K
BCBS
TX
01
—
8EH506
BCBS TX
TX
Enumeration date
12/23/2005
Last updated
07/01/2020
Update your record
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