Individual
KUTIBA TABBAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.CH
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
U6092
TX
208M00000X
Hospitalist Physician
Primary
U6092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285261834
—
TX
Enumeration date
03/24/2020
Last updated
09/28/2023
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