Provider Demographics
NPI:1780683540
Name:KREUZER, STEFAN W (MD)
Entity Type:Individual
Prefix:DR
First Name:STEFAN
Middle Name:W
Last Name:KREUZER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10496 KATY FWY STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-5106
Mailing Address - Country:US
Mailing Address - Phone:346-571-7500
Mailing Address - Fax:832-203-8192
Practice Address - Street 1:10496 KATY FWY
Practice Address - Street 2:SUITE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-5106
Practice Address - Country:US
Practice Address - Phone:346-571-7500
Practice Address - Fax:713-492-2440
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2022-05-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK4318207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX501810ZU13Medicare PIN
TXH30254Medicare UPIN
TX8B2069Medicare PIN