Robert Layne Kruse, MD, PHD | |
301 University Blvd, Galveston, TX 77555-5302 | |
(409) 266-5628 | |
Not Available |
Full Name | Robert Layne Kruse |
---|---|
Gender | Male |
Speciality | Pathology - Clinical Pathology |
Location | 301 University Blvd, Galveston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902399421 | NPI | - | NPPES |
2I7447 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0006X | Pathology - Clinical Pathology | T9158 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
---|---|
Robert Layne Kruse, MD, PHD Po Box 650859, Dept. 710, Dallas, TX 75265-0859 Ph: (409) 266-5628 | Robert Layne Kruse, MD, PHD 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 266-5628 |
Stephen M Pustilnik, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0890 Fax: 409-772-0885 | |
Mariangela Gomez Ferrer, MD Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-5683 | |
Mukhayyo Ismailova, Pathology Medicare: Not Enrolled in Medicare Practice Location: 711 Holiday Dr Apt 21, Galveston, TX 77550 Phone: 346-289-0878 | |
Dmitrii Vozniuk, Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2856 | |
Eduardo Javier Eyzaguirre, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Yadira Elizabeth Chavez, Pathology Medicare: Not Enrolled in Medicare Practice Location: 712 Texas Ave, Galveston, TX 77555 Phone: 409-772-1011 | |
Paul J Boor, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |