Individual
KRISTIE A. CHISCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 N SAN SABA, SUITE 1240, SAN ANTONIO, TX 78207-3154
(210) 212-4114
(210) 212-4012
Mailing address
PO BOX 596, SAN ANTONIO, TX 78292-0596
(210) 212-4114
(210) 212-4012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L8648
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
L8648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170376101
—
TX
Enumeration date
07/26/2005
Last updated
03/18/2009
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