Individual
FREDERICK RYAN WADE KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3349 S HIGHWAY 181 STE 5, KENEDY, TX 78119-5247
(830) 583-9339
Mailing address
3349 S HIGHWAY 181, KENEDY, TX 78119-5247
(830) 583-9339
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N5791
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
N5791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BC/BS
TX
05
—
PENDING
—
TX
Enumeration date
07/01/2009
Last updated
08/03/2024
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