Individual
KENT ROHWEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 CAMDEN ST, SUITE 208, SAN ANTONIO, TX 78215-2012
(210) 892-0228
(210) 455-0169
Mailing address
311 CAMDEN ST, SUITE 208, SAN ANTONIO, TX 78215-2012
(210) 892-0228
(210) 455-0169
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J0788
TX
2085R0204X
Vascular & Interventional Radiology Physician
J0788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138157615
—
TX
01
—
138157616
CSHCN
TX
Enumeration date
02/20/2006
Last updated
03/15/2017
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