Pediatric Institute of Southwest Texas,p.a.
NPI #1497790703 in San Antonio, Texas
Provider Information
- NPI Number
- 1497790703
- Entity Type
- Organization
- Organization Name
- Pediatric Institute of Southwest Texas,p.a.
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jun 19, 2006
- Last Updated
- Jan 12, 2010
Practice Location
- Address
- 5255 PRUE RD
- Address 2
- SUITE #105
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78240-1335
- Phone
- (210) 877-9966
Authorized Official
- Name
- DR. KASSIA LOUEVA KUBENA, M.D.,
- Title
- OWNER/PHYSICIAN
- Phone
- (210) 877-9966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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