MEDICARE: LINZI KRAMER D.O.

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	S0926	TX

General Provider Information

NPI Number	:	1194174953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINZI KRAMER D.O.

Provider Business Mailing Address
First Line	:	7232 NORTH FWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-2481
Country	:	US
Telephone Number	:	817-439-8100
Fax Number	:	817-439-8103

Provider Business Practice Location Address
First Line	:	7232 NORTH FWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-2481
Country	:	US
Telephone Number	:	817-439-8100
Fax Number	:	817-439-8103

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

Provider Enumeration Date	:	06/11/2016
Last Update Date	:	03/24/2020

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