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Organization

R. STEFAN KIESZ M.D. P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RADOSLAW STEFAN KIESZ M.D. (PRESIDENT / OWNER)
(210) 272-0098
Entity
Organization

Contact information

Practice address
18615 TUSCAN STONE, SUITE 170, SAN ANTONIO, TX 78258-3498
(210) 272-0098
(210) 592-1462
Mailing address
18615 TUSCANY STONE, SUITE 170, SAN ANTONIO, TX 78258-3498
(210) 272-0098
(210) 592-1462

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H7769
TX
207RC0000X
Cardiovascular Disease Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161214501
TX
Enumeration date
10/10/2007
Last updated
11/14/2012
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