MEDICARE: DR. STEFAN W KREUZER 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
1	207X00000X	Orthopaedic Surgery Physician	K4318	TX

General Provider Information

NPI Number	:	1780683540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEFAN W KREUZER MD

Provider Business Mailing Address
First Line	:	10496 KATY FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-5106
Country	:	US
Telephone Number	:	346-571-7500
Fax Number	:	832-203-8192

Provider Business Practice Location Address
First Line	:	10496 KATY FWY
Second Line	:	SUITE 101
City	:	HOUSTON
State	:	TX
Zip	:	77043-5106
Country	:	US
Telephone Number	:	346-571-7500
Fax Number	:	713-492-2440

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	05/23/2022

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