Provider Demographics
NPI:1114985215
Name:KRAUSER, DEBORAH L (ARNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:KRAUSER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:L
Other - Last Name:SACKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:3801 WILLIAM D TATE AVE STE 850
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-8757
Mailing Address - Country:US
Mailing Address - Phone:817-310-3070
Mailing Address - Fax:817-310-0023
Practice Address - Street 1:3801 WILLIAM D TATE AVE STE 850
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8757
Practice Address - Country:US
Practice Address - Phone:817-310-3070
Practice Address - Fax:817-310-0023
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX753879363LA2200X
FLARNP2578982363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX204621101Medicaid
FL304349500Medicaid
TX204621103Medicaid
TX204621102Medicaid
TX204621101Medicaid
TX8L17580Medicare PIN
P60636Medicare UPIN
TX8L17595Medicare PIN
FL304349500Medicaid