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Individual

KALE BENJAMIN DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4492
(210) 567-5711
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-6482

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
BP20090643
TX
208600000X
Surgery Physician
BP10082951
TX

Other

Enumeration date
04/24/2023
Last updated
05/22/2024
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