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NPI Code Detail

MEDICARE: DR. SUSAN L KRAEMER MD

MEDICARE: DR. SUSAN L KRAEMER 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
1207Q00000XFamily Medicine PhysicianH5183TX

General Provider Information

NPI Number : 1699799452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN L KRAEMER MD
Provider Business Mailing Address
First Line : 1400 N TEXANA ST
Second Line :
City : HALLETTSVILLE
State : TX
Zip : 77964-2021
Country : US
Telephone Number : 361-798-3671
Fax Number : 361-798-3128
Provider Business Practice Location Address
First Line : 1406 N TEXANA ST
Second Line :
City : HALLETTSVILLE
State : TX
Zip : 77964-2021
Country : US
Telephone Number : 361-798-3671
Fax Number : 361-798-3128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/21/2022

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Directions to “ DR. SUSAN L KRAEMER MD” Practice Location

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