Individual
DR. LAWRENCE RICHARD BREITKREUTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1680 ANTILLEY RD, STE. 260, ABILENE, TX 79606-5267
(325) 691-5590
(325) 691-1231
Mailing address
1150 N 18TH ST, STE. 401, ABILENE, TX 79601-2948
(325) 670-4560
(325) 670-4559
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J7916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0971400-03
—
TX
Enumeration date
08/18/2005
Last updated
04/12/2010
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