Individual
DR. MARTIN KRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S CARRIER PKWY, SUITE 220, GRAND PRAIRIE, TX 75051-1502
(972) 264-9111
(972) 264-9120
Mailing address
530 S CARRIER PKWY, SUITE 220, GRAND PRAIRIE, TX 75051-1502
(972) 264-9111
(972) 264-9120
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K5593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001HK
BCBS
TX
01
—
10011658
AMERIGROUP
TX
01
—
455535
VALUE OPTIONS
—
Enumeration date
08/10/2006
Last updated
07/09/2007
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