Krell, Blair William

Krell, Blair William is an individual health care provider with primary practice located at 214 Parking Way St , Lake Jackson TX 77566-5227. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Krell, Blair William can be contacted via phone (979) 299-3376.

Contact Information

Primary practice address
214 Parking Way St Lake Jackson TX 77566-5227
Phone: (979) 299-3376
Fax: (979) 299-3797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L1637 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X L1637 Texas

Profile Details

NPI number 1912904731
LBN Legal business name Krell, Blair William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912904731 NPPES
Texas MEDICAID 143723801
Texas Other 302679101
Texas Other 0035TD

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