Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 88 | NC |
N | 222Z00000X | Podiatrist | 88 | NC |
N | 213EP1101X | Primary Podiatric Medicine | 88 | TX |
N | 213ES0131X | Foot Surgery | 88 | NC |
NPI | 1578598017 |
---|---|
Provider Name | Dr. Duane Eldon Kratzer JR. |
First Address | Round Rock, TX 78664-5630 |
Second Address | Austin, TX 78741-6411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |