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Individual

WILLIAM HENRY KRASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1609 CIRCLE LANE, BEDFORD, TX 76022-6746
(817) 282-0274
(817) 283-8146
Mailing address
1609 CIRCLE LANE, BEDFORD, TX 76022-6746
(817) 282-0274
(817) 283-8146

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
E2039
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00P641
EXISTING BCBS PROVIDER #
TX
Enumeration date
10/06/2006
Last updated
07/08/2007
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