DR. JO ELLEN REEVES KRUEGER, MD
Medical Practice at Forest Ln, Dallas, TX

License number
Texas K6967
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
Address
Address 2
7777 Forest Ln, Dallas, TX 75230
PO Box 496148, Garland, TX 75049
Phone
(972) 739-7445
(214) 692-7478 (Fax)
National Provider ID: 1750313904
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JO ELLEN REEVES KRUEGER, M.D., PA

Dallas, TX

Doing business as:
Jo Ellen Reeves Krueger, M.D., PA
Registration:
Jan 30, 2001
Addresses:
3307 Beverly Dr, Dallas, TX 75205 (Mailing)
1601 Elm St, Dallas, TX 75201
State ID:
0082242403
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
Jo Ellen Reeves Krueger (President , Treasurer , Director , Member , Secretary , Vice-President)
Agent:
Andrew N Meyercord,1601 Elm St, Dallas, TX 75201 (Physical)
TIN:
32035986622

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