Provider Demographics
NPI:1306838412
Name:KROUPA, DAVID JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:KROUPA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 AVENUE D
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1658
Mailing Address - Country:US
Mailing Address - Phone:281-693-6310
Mailing Address - Fax:281-693-6320
Practice Address - Street 1:1935 AVENUE D
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1658
Practice Address - Country:US
Practice Address - Phone:281-693-6310
Practice Address - Fax:281-693-6320
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7993111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
5107702OtherAETNA
760564825OtherFORTIS
3500054010OtherRR MEDICARE
760564825OtherTML
648327OtherUNITED HEALTHCARE
760564825OtherHUMANA
605928OtherBCBS
7931843OtherCIGNA
760564825OtherUNICARE
21190173262OtherBEECHSTREET
760564825OtherPHCS
906979OtherFOCUS HEALTHCARE
7931843OtherCIGNA
760564825OtherTML