Provider Demographics
NPI:1194174953
Name:KRAMER, LINZI (DO)
Entity type:Individual
Prefix:
First Name:LINZI
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7232 NORTH FWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-2481
Mailing Address - Country:US
Mailing Address - Phone:817-439-8100
Mailing Address - Fax:817-439-8103
Practice Address - Street 1:7232 NORTH FWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-2481
Practice Address - Country:US
Practice Address - Phone:817-439-8100
Practice Address - Fax:817-439-8103
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-11
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXS0926207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program