Individual
DR. KELLY G COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16019 VIA SHAVANO, SAN ANTONIO, TX 78249-2370
(210) 696-9292
(210) 690-8815
Mailing address
16019 VIA SHAVANO, SAN ANTONIO, TX 78249-2370
(210) 696-9292
(210) 690-8815
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J6392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127461505
—
TX
Enumeration date
08/31/2006
Last updated
01/29/2014
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