Organization
VAQUERO MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF KROPHOLLER (DIRECTOR)
(254) 221-2900
Entity
Organization
Contact information
Practice address
18302 NOYCE RD, CROSBY, TX 77532-7807
(281) 346-3480
(832) 581-4677
Mailing address
PO BOX 204249, DALLAS, TX 75320-4249
(281) 346-3480
(832) 581-4677
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
02/22/2022
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