Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | F1099 | TX |
NPI | 1033114533 |
---|---|
Provider Name | Dr. Michael Krebs |
First Address | Houston, TX 77210-4309 |
Second Address | Houston, TX 77035-3129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 29/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1315848-06 | (05) | TX |
C18042 | (02) | TX |