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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