Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | J9139 | TX |
NPI | 1467545558 |
---|---|
Provider Name | Steven R Krebel |
First Address | Fort Worth, TX 76199-0213 |
Second Address | Fort Worth, TX 76104-2733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 04/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00L42V | BCBSTX GRP PIN (01) | TX |
10028762 | AMERIGROUP PIN (01) | TX |
100933 | SUPERIOR PIN (01) | TX |
117114101 | FIRSTCARE PIN (01) | TX |
125424502 | (05) | TX |
125424503 | (05) | TX |
137283103 | (05) | TX |
137345805 | (05) | TX |
1392512 | UHC PIN (01) | TX |
1640399 | FIRSTHEALTH PIN (01) | TX |
1669442042 | GRP NPI NUMBER (01) | |
413467 | PHCS PIN (01) | TX |
5654108 | AETNA PIN (01) | TX |
83X065 | BCBSTX IND PIN (01) | TX |
9469068 | CIGNA PIN (01) | TX |
F40581 | (02) |