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Contact Information

JO ELLEN R KRUEGER, MD
7777 FOREST LANE
DALLAS, TX75230
 Phone: 972-739-7445
 Fax: 214-692-7478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JO ELLEN R KRUEGER · (Female)

NPI # 1750313904
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 05/13/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TX License # K6967
  • TX Medicaid 145513101
  • TX Other 8301M1 BLUE CROSS
Hospital affiliation(s)
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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