Most Relevant Information
Provider Data
| NPI Number: | 1003801416 |
| Provider Name: | VICKIE ANN KRAHL LSA |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZS0410X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | SA0003 |
Most Important Dates
| Enumeration Date: | 09/13/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3320 COLORADO BLVD
DENTON
TX
762106864
Practice Location Phone/Fax
| Phone: | 9403826757 |
| Fax: | 9403831894 |
Provider Mailing Location
3320 COLORADO BLVD
DENTON
TX
762106864
Provider Mailing Phone/Fax
| Phone: | 9403826757 |
| Fax: | 9403831894 |