Healthcare Provider Details

I. General information

NPI: 1194806273
Provider Name (Legal Business Name): KRUM FAMILY HEALTHCARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 W. MCCART ST
KRUM TX
76249
US

IV. Provider business mailing address

PO BOX 608 141 W. MCCART ST
KRUM TX
76249-0608
US

V. Phone/Fax

Practice location:
  • Phone: 940-482-6702
  • Fax: 940-482-9704
Mailing address:
  • Phone: 940-482-6702
  • Fax: 940-482-9704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberK2701
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number597377
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number666655
License Number StateTX

VIII. Authorized Official

Name: DANA CAROL SPROTT
Title or Position: CO-OWNER
Credential: NP
Phone: 940-482-6702