Individual
DR. MIKA KAMADA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
8001 BROADWAY ST, SAN ANTONIO, TX 78209-5713
(210) 930-4555
Mailing address
8001 BROADWAY ST, SAN ANTONIO, TX 78209-2628
(210) 930-4555
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
H8701
TX
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
H8701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115622604
—
TX
Enumeration date
05/22/2006
Last updated
05/13/2009
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