Individual
BLAIR WILLIAM KRELL
Active
Individual
BLAIR WILLIAM KRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L1637
TX
2084N0400X
Neurology Physician
Primary
L1637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035TD
MHS PHYS OF TX BCBSTX GRP PROV REC
TX
05
—
143723801
—
TX
01
—
302679101
MHS PHYS OF TX BRAZORIA MDCD GRP TPI
TX
Enumeration date
07/07/2005
Last updated
09/17/2024
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