Healthcare Provider Details

I. General information

NPI: 1295746147
Provider Name (Legal Business Name): KRAMER MEDICAL, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9070 RESEARCH BLVD STE 105
AUSTIN TX
78758-7004
US

IV. Provider business mailing address

2525 WALLINGWOOD DR STE 1 B
AUSTIN TX
78746-6900
US

V. Phone/Fax

Practice location:
  • Phone: 512-374-9955
  • Fax: 513-374-9911
Mailing address:
  • Phone: 512-306-0211
  • Fax: 512-306-0909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberC9042
License Number StateTX

VIII. Authorized Official

Name: JULIUS F KRAMER
Title or Position: OWNER
Credential: MD
Phone: 512-306-0211