Basic Information
| Provider Information | |||||||||
| NPI: | 1487857504 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KRUGER | ||||||||
| FirstName: | ARIEL | ||||||||
| MiddleName: | YEHUDA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8401 DATAPOINT DR | ||||||||
| Address2: | SUITE 600 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782295900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106167796 | ||||||||
| FaxNumber: | 2106167799 | ||||||||
| Practice Location | |||||||||
| Address1: | 8401 DATAPOINT DR | ||||||||
| Address2: | SUITE 600 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782295900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106167796 | ||||||||
| FaxNumber: | 2106167799 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2007 | ||||||||
| LastUpdateDate: | 04/15/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | M8099 | TX | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 1925802-02 | 01 | TX | MEDICAID - STRIC | OTHER | 1925802-01 | 05 | TX | MEDICAID | 1925802-03 | 01 | TX | MEDICAID - CSHCN | OTHER | P00608388 | 01 | TX | RAILROAD MEDICARE | OTHER | 8K4364 | 01 | TX | MEDICARE - STRIC | OTHER | M8099 | 01 | TX | TEXAS LICENSE | OTHER | P00638618 | 01 | TX | RAILROAD MEDICARE | OTHER |