Organization
TERESA R KROEKER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA R KROEKER MD (PRESIDENT)
(512) 491-0017
Entity
Organization
Contact information
Practice address
12319 N MOPAC EXPY, 260, AUSTIN, TX 78758-2414
(512) 491-0017
(512) 491-0063
Mailing address
12319 N MOPAC EXPY, 260, AUSTIN, TX 78758-2414
(512) 491-0017
(512) 491-0063
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
TX
2086S0120X
Pediatric Surgery Physician
—
TX
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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