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NPI Code Detail

MEDICARE: JOSEPH W KRAFT MD

MEDICARE: JOSEPH W KRAFT MD
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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianJ2138TX

General Provider Information

NPI Number : 1396773578
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH W KRAFT MD
Provider Business Mailing Address
First Line : PO BOX 5270
Second Line :
City : NORMAN
State : OK
Zip : 73070-5270
Country : US
Telephone Number : 866-321-8433
Fax Number :
Provider Business Practice Location Address
First Line : 1604 ROCK PRAIRIE RD
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-8345
Country : US
Telephone Number : 979-764-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/08/2007

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