Provider Demographics
NPI:1306868237
Name:JAMES H KRAUSE MD PA
Entity Type:Organization
Organization Name:JAMES H KRAUSE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:KRAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-528-6347
Mailing Address - Street 1:3400 BISSONNET ST
Mailing Address - Street 2:220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2155
Mailing Address - Country:US
Mailing Address - Phone:713-528-6347
Mailing Address - Fax:713-528-5839
Practice Address - Street 1:3400 BISSONNET ST
Practice Address - Street 2:220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2155
Practice Address - Country:US
Practice Address - Phone:713-528-6347
Practice Address - Fax:713-528-5839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD1923174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X172Medicare UPIN