Individual
KPOBARI KPONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1310 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-5601
(210) 757-2200
Mailing address
9210 BELLE GLEN DR, HOUSTON, TX 77099-1941
(210) 772-6572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
915386
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1152594
TX
Other
Enumeration date
03/07/2022
Last updated
02/09/2024
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