MEDICARE: ROBERT C KRATSCHMER III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	L5422	TX

General Provider Information

NPI Number	:	1033155379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT C KRATSCHMER III M.D.

Provider Business Mailing Address
First Line	:	308 E EDGEWOOD DR
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-3823
Country	:	US
Telephone Number	:	281-317-8179
Fax Number	:	281-317-8279

Provider Business Practice Location Address
First Line	:	308 E EDGEWOOD DR
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-3823
Country	:	US
Telephone Number	:	281-317-8179
Fax Number	:	281-317-8279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	09/07/2023

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