Organization
SAMUEL J. KASBERG, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL JOSEPH KASBERG M.D. (PHYSICIAN/CEO)
(325) 655-7969
Entity
Organization
Contact information
Practice address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9511
(325) 655-7976
Mailing address
223 S ABE ST, SAN ANGELO, TX 76903-6305
(325) 655-7969
(325) 655-7976
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
J3826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J3826
TEXAS LICENSE
TX
Enumeration date
08/15/2007
Last updated
08/15/2007
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