Provider Demographics
NPI:1639739162
Name:KRUGER, ANTHONY RICHARD (OD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:RICHARD
Last Name:KRUGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12923 ENCHANTED DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2267
Mailing Address - Country:US
Mailing Address - Phone:713-562-6116
Mailing Address - Fax:
Practice Address - Street 1:17450 ST LUKES WAY STE 100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-8045
Practice Address - Country:US
Practice Address - Phone:281-363-3443
Practice Address - Fax:936-271-1351
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9735T152W00000X
TX9735TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist