Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | K9094 | TX |
Y | 111NI0900X | Internist | K9094 | TX |
N | 207RG0300X | Geriatric Medicine | K9094 | TX |
N | 207RH0002X | Hospice and Palliative Medicine | K9094 | TX |
NPI | 1093885246 |
---|---|
Provider Name | Dr. Robert M Kruger |
First Address | Jbsa Lackland, TX 78236-5638 |
Second Address | Jbsa Lackland, TX 78236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 29/08/2018 |