Individual
DR. BENJAMIN JOHN KROG
Active
Individual
DR. BENJAMIN JOHN KROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP1-006254
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337461301
—
TX
01
—
3836532114
MYUTMB 3836532114-COMMERCIAL NUMBER
—
01
—
752616977042
TRICARE
TX
01
—
8EG496
BCBS
TX
Enumeration date
06/14/2007
Last updated
01/26/2015
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