Provider Demographics
NPI:1710084975
Name:KROEKER, TERESA RUTH (MD)
Entity Type:Individual
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First Name:TERESA
Middle Name:RUTH
Last Name:KROEKER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:12201 RENFERT WAY STE 240
Mailing Address - Street 2:CAPITAL SURGEONS GROUP, PLLC
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5337
Mailing Address - Country:US
Mailing Address - Phone:512-498-4850
Mailing Address - Fax:512-491-8387
Practice Address - Street 1:12201 RENFERT WAY STE 240
Practice Address - Street 2:CAPITAL SURGEONS GROUP, PLLC
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5337
Practice Address - Country:US
Practice Address - Phone:512-498-4850
Practice Address - Fax:512-491-8387
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2014-07-14
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Provider Licenses
StateLicense IDTaxonomies
TXN9583208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery