Individual
HANA KATHLEEN KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR, JBSA FORT SAM HOUSTON, TX 78234-4504
(210) 916-0000
Mailing address
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR, JBSA FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R2146
TX
207RN0300X
Nephrology Physician
Primary
R2146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390101901
—
TX
01
—
710950
MEDICARE
TX
01
—
8JT955
BCBS
TX
Enumeration date
06/18/2009
Last updated
11/20/2024
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