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NPI Code Detail

MEDICARE: TIMOTHY MICHAEL KREMER MD

MEDICARE:   TIMOTHY MICHAEL KREMER  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
1207V00000XObstetrics & Gynecology Physician2006-00593NC
2207V00000XObstetrics & Gynecology PhysicianL7784TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00803267OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38AA716OTHERTXBCBS

General Provider Information

NPI Number : 1750301446
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY MICHAEL KREMER MD
Provider Business Mailing Address
First Line : 1300 W TERRELL AVE STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2822
Country : US
Telephone Number : 817-250-7360
Fax Number : 817-250-0111
Provider Business Practice Location Address
First Line : 1300 W TERRELL AVE STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2822
Country : US
Telephone Number : 817-250-7360
Fax Number : 817-250-0111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 08/15/2025

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Directions to “ TIMOTHY MICHAEL KREMER MD” Practice Location

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