Individual
DR. DANIELLE KAY COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8522 BROADWAY ST STE 111, SAN ANTONIO, TX 78217-6377
(210) 293-1700
(210) 293-1701
Mailing address
8522 BROADWAY ST STE 111, SAN ANTONIO, TX 78217-6377
(210) 293-1700
(210) 293-1701
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P7094
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2011
Last updated
02/05/2020
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