Individual
DR. LEA KATHLEEN KREKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 HOSPITAL PKWY, SUITE 300, BEDFORD, TX 76022-5934
(817) 359-9000
(817) 359-9062
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
J0166
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R1491
BLUE CROSS OF TX
TN
Enumeration date
06/02/2006
Last updated
02/21/2008
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