Provider Demographics
NPI:1871520866
Name:CRESSMAN, ERIK NORMAN KRASKE (MD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:NORMAN KRASKE
Last Name:CRESSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4439
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4439
Mailing Address - Country:US
Mailing Address - Phone:713-792-2991
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4009
Practice Address - Country:US
Practice Address - Phone:713-792-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN474942085R0204X
TXP72632085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2366351OtherARAZ
IA0592220Medicaid
MN16-03576OtherMEDICA CHOICE
WI34648500Medicaid
TX8DX449OtherBCBS (MDACC)
TXP01245290OtherRR MEDICARE (MDACC)
MN16-02032OtherMEDICA PRIMARY
MN617T5CROtherBCBS
MNB622OtherCHAMPUS
MN1044142OtherPREFERRED ONE
MNHP5210OtherHEALTHPARTNERS
TX324132501 (MDACC)Medicaid
MT0145860Medicaid
MN132874OtherUCARE
MN882907100Medicaid
MN16-03576OtherMEDICA CHOICE
WI34648500Medicaid
TX311910YKQH (MDACC)Medicare PIN
MNI29764Medicare UPIN