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NPI Code Detail

MEDICARE: SUSAN ELAINE KRAUTER MD

MEDICARE: SUSAN ELAINE KRAUTER 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
1207R00000XInternal Medicine PhysicianK6064TX

General Provider Information

NPI Number : 1487646352
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ELAINE KRAUTER MD
Provider Business Mailing Address
First Line : 10410 CLIFFWOOD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77035-3702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1905 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4123
Country : US
Telephone Number : 713-677-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/12/2007

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Directions to “ SUSAN ELAINE KRAUTER MD” Practice Location

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