Individual
MITCHEL KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J8024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045221101
—
TX
01
—
110125105
RAILROAD MEDICARE
TX
01
—
86T917
BCBS
TX
Enumeration date
05/04/2006
Last updated
06/02/2021
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