Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | C6399 | TX |
NPI | 1013374933 |
---|---|
Provider Name | Dr. Quentin Theodore Kramer |
First Address | Wichita Falls, TX 76308-2020 |
Second Address | Wichita Falls, TX 76308-2020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2016 |
Last Update Date | 22/01/2016 |