Organization
JASON A KRUPP MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ADAM KRUPP MD (PRESIDENT)
(214) 701-7607
Entity
Organization
Contact information
Practice address
5930 ROYAL LN, SUITE E #236, DALLAS, TX 75230-3849
(214) 701-7608
Mailing address
4351 E LOHMAN AVE, SUITE 204, LAS CRUCES, NM 88011-8259
(214) 701-7608
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD20040216
NM
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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