Provider Demographics
NPI:1295746147
Name:KRAMER MEDICAL, PA
Entity type:Organization
Organization Name:KRAMER MEDICAL, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:F
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-306-0211
Mailing Address - Street 1:2525 WALLINGWOOD DR
Mailing Address - Street 2:STE 1 B
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6900
Mailing Address - Country:US
Mailing Address - Phone:512-306-0211
Mailing Address - Fax:512-306-0909
Practice Address - Street 1:9070 RESEARCH BLVD
Practice Address - Street 2:STE 105
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-7004
Practice Address - Country:US
Practice Address - Phone:512-374-9955
Practice Address - Fax:513-374-9911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC9042208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00202XMedicare ID - Type UnspecifiedMEDICARE ROUP #