Individual
DR. DANIEL H KELLUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 FM 3009, SCHERTZ, TX 78154-2711
(210) 945-2121
(210) 945-2221
Mailing address
8870 US HIGHWAY 87 E, SAN ANTONIO, TX 78263-2242
(210) 648-0152
(210) 649-4170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1533
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133204105
—
TX
Enumeration date
09/08/2005
Last updated
04/07/2015
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