Individual
DR. KRAIG ROBERT PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO PA
Contact information
Practice address
6930 HARRIS PKWY STE 130, FORT WORTH, TX 76132-4272
(817) 632-0020
(817) 632-0022
Mailing address
6930 HARRIS PKWY STE 130, FORT WORTH, TX 76132-4272
(817) 632-0020
(817) 632-0022
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
N1060
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
N1060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101210471
—
PA
05
—
203808502
—
TX
05
—
30884110
—
TX
Enumeration date
11/18/2005
Last updated
05/17/2024
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