Individual
MICHAEL B KRONENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 N WASHINGTON AVE STE 7000, DALLAS, TX 75246-1791
(214) 826-3681
(214) 826-7277
Mailing address
411 N WASHINGTON AVE STE 7000, DALLAS, TX 75246-1791
(214) 826-3681
(214) 826-7277
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
K8271
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
K8271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023MH
BC/BS PROVIDER #
TX
01
—
202140426
TAX ID #
TX
Enumeration date
07/05/2005
Last updated
01/13/2025
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