Individual
HEIDI CHWAN KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-1143
(210) 450-0407
Mailing address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-1143
(210) 450-0407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S9919
TX
207RH0003X
Hematology & Oncology Physician
Primary
S9919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426972202
—
TX
05
—
426972203
—
TX
Enumeration date
03/27/2015
Last updated
02/08/2022
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