Organization Active NPI

Wesley W.O. Krueger M.D. PLLC

  • Otology & Neurotology Physician
  • San Antonio, TX
National Provider Identifier
1851710032
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
Legal business name
WESLEY W.O. KRUEGER M.D. PLLC
Practice address
2632 Broadway St Ste 201
San Antonio, TX 78215-1137
Phone
(210) 854-2931
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wesley W Krueger, M.D.
Title
Owner
Phone
(210) 854-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0901X TX Primary

Addresses

Primary practice location

2632 Broadway St Ste 201
San Antonio, TX 78215-1137

Mailing address

103 Gatewood CT
San Antonio, TX 78209-5427
Phone (210) 854-2031

National Provider Directory

National Provider Directory

Locations

2632 Broadway St
Ste 201
San Antonio, TX 78215
Phone (210) 854-2931

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1851710032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GATEWOOD CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095427",
            "telephone_number": "210-854-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 BROADWAY ST STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151137",
            "telephone_number": "210-854-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY W.O. KRUEGER M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-854-2031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.