Ellisa Krumm is a Family Medicine in Fort Worth, Texas. Ellisa Krumm practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ellisa Krumm is 1124105457. The last update date is 2017-06-06.
Ellisa Krumm's current location address is 1500 S Main St, Fort Worth, Texas. You can contact this provider via phone number 8177021204. The mailing address for Ellisa Krumm is 1500 S Main St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellisa Krumm |
|---|---|
| Address | 1500 S Main St, Fort Worth, Texas |
| Phone Number | 8177021204 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124105457 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2017-06-06 |
Provider Mailing Address Detail
| Address | 1500 S Main St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761044917 |
| Phone Number | 8177021204 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 45018 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1513688 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ellisa Krumm?
The Ellisa Krumm has been issued the NPI (National Provider Identifier) 1124105457 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Ellisa Krumm is physically located?
The Ellisa Krumm is situated at the following address: 1500 S Main St, Fort Worth, TX 761044917.
What is Ellisa Krumm's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ellisa Krumm is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124105457 to Ellisa Krumm?
The Ellisa Krumm received its 1124105457 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information related to Ellisa Krumm most recently updated or refreshed?
The details pertaining to the Ellisa Krumm, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-06-06.