MEDICARE: DR. STEPHAN PAUL KROTZ 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	207V00000X	Obstetrics & Gynecology Physician	M1851	TX
2	207VE0102X	Reproductive Endocrinology Physician	M1851	TX

General Provider Information

NPI Number	:	1447288626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHAN PAUL KROTZ M.D.

Provider Business Mailing Address
First Line	:	3773 RICHMOND AVE STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77046-3726
Country	:	US
Telephone Number	:	713-401-9000
Fax Number	:	713-491-6900

Provider Business Practice Location Address
First Line	:	3773 RICHMOND AVE STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77046-3726
Country	:	US
Telephone Number	:	713-401-9000
Fax Number	:	713-491-6900

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	07/21/2020

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