Individual
VAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7526 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-4001
(210) 450-6440
(210) 450-2104
Mailing address
7526 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-4001
(210) 450-6440
(210) 450-2104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q8531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309141400
—
MD
05
—
358276901
—
TX
01
—
358276902
CSHCN
TX
Enumeration date
06/17/2006
Last updated
12/18/2018
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