Individual
JOHN E. KOBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
495 10TH ST, SUITE 102, FLORESVILLE, TX 78114-3162
(830) 216-2606
(830) 216-4037
Mailing address
7142 SAN PEDRO AVE, SUITE 120, SAN ANTONIO, TX 78216-6254
(210) 661-5622
(210) 395-4012
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L9291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172278701
—
TX
01
—
P00183033
MEDICARE RAILROAD
TX
Enumeration date
12/07/2005
Last updated
08/13/2015
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