Provider Demographics
NPI:1356365340
Name:KRUGER, CYNTHIA V (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:V
Last Name:KRUGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14546 BROOK HOLLOW BLVD
Mailing Address - Street 2:SUITE 344
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232
Mailing Address - Country:US
Mailing Address - Phone:720-988-0443
Mailing Address - Fax:
Practice Address - Street 1:2925 E RAMBLEWOOD ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78261-2008
Practice Address - Country:US
Practice Address - Phone:720-988-0443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44780207L00000X
TXL5939207L00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO51485346Medicaid
CO806498Medicare PIN
CO51485346Medicaid