Individual
DR. LEON WAYNE KUNDROTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7400 MERTON MINTER ST, AUDIE L. MURPHY MEMORIAL VAH GASTROENTEROLOGY, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
7400 MERTON MINTER ST, AUDIE L. MURPHY MEMORIAL VAH GASTROENTEROLOGY, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
140658 1
NY
207RG0100X
Gastroenterology Physician
Primary
N8943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287859701
—
TX
01
—
287859702
MEDICAID (CSHCN)
TX
Enumeration date
06/26/2006
Last updated
03/09/2012
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