Provider Demographics
NPI:1275547515
Name:KILLEBREW, FRANCES KRUSE (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:KRUSE
Last Name:KILLEBREW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5656 BEE CAVE RD STE E200
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5035
Mailing Address - Country:US
Mailing Address - Phone:512-328-8880
Mailing Address - Fax:512-328-8933
Practice Address - Street 1:5656 BEE CAVE RD STE E200
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5035
Practice Address - Country:US
Practice Address - Phone:512-328-8880
Practice Address - Fax:512-328-8933
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC043271207Q00000X
TXG2745207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF83506Medicare UPIN