Individual
THEODORE JOSEPH KRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 W I 20 STE 212, ARLINGTON, TX 76017-5873
(214) 942-3100
(469) 399-0355
Mailing address
811 W I 20 STE 212, ARLINGTON, TX 76017-5873
(214) 942-3100
(469) 399-0355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H2517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098762003
—
TX
01
—
098762005
MEDICAID TPI
TX
01
—
098762006
MEDICAID OTHER
TX
05
—
098762007
—
TX
05
—
098762009
—
TX
Enumeration date
07/11/2006
Last updated
03/06/2024
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