Individual
DR. ELISABETH M KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 DALLAS ST, SAN ANTONIO, TX 78205-1201
(210) 297-7000
Mailing address
PO BOX 12740, WESTMINSTER, CA 92685-2740
(562) 468-0227
(562) 467-0865
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N1358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203031401
—
TX
05
—
203031402
—
TX
01
—
8CA607
BCBSTX
TX
Enumeration date
02/03/2009
Last updated
11/06/2009
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