Jerry Elliott Kruse in San Antonio - Urology
Jerry Elliott Kruse - NPI 1205931417
Jerry Elliott Kruse is a Urology in San Antonio, Texas. Jerry Elliott Kruse practices all healthcare services and medical treatments related to Urology. The NPI Number for Jerry Elliott Kruse is 1205931417. The last update date is 2010-07-06.
Jerry Elliott Kruse's current location address is 1303 Mccullough Ave, San Antonio, Texas. You can contact this provider via phone number 2102279376 and fax number 2102270916. The mailing address for Jerry Elliott Kruse is 1303 Mccullough Ave, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Elliott Kruse |
|---|---|
| Address | 1303 Mccullough Ave, San Antonio, Texas |
| Phone Number | 2102279376 |
| Fax Number | 2102270916 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205931417 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2010-07-06 |
Provider Mailing Address Detail
| Address | 1303 Mccullough Ave |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782125668 |
| Phone Number | 2102279376 |
| Fax Number | 2102270916 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | E4464 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101951502 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerry Elliott Kruse by the Centers for Medicare & Medicaid Services?
The Jerry Elliott Kruse has been assigned the NPI (National Provider Identifier) 1205931417 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jerry Elliott Kruse's facilities are situated?
The facilities of Jerry Elliott Kruse are physically located at the following address: 1303 Mccullough Ave, San Antonio, TX, 782125668.
What is the Jerry Elliott Kruse's specialty and taxonomy code?
The Jerry Elliott Kruse's specialty is Urology, and the corresponding taxonomy code is 208800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205931417 to Jerry Elliott Kruse?
The Centers for Medicare & Medicaid Services assigned the 1205931417 to Jerry Elliott Kruse on 2006-09-13.
When was the information regarding Jerry Elliott Kruse most recently updated?
The details pertaining to the Jerry Elliott Kruse, including its address, specialty, and other relevant information, were last refreshed on 2010-07-06.