Individual
DR. GERALD ANTHONY KRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 715-9976
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
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