Individual
DR. EDWARD ALAN KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4499 MEDICAL DR, SUITE 245, SAN ANTONIO, TX 78229-3735
(210) 616-0789
(210) 692-1930
Mailing address
4499 MEDICAL DR, SUITE 245, SAN ANTONIO, TX 78229-3735
(210) 616-0789
(210) 692-1930
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E3721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00PF34
BLUE CROSS-BLUE SHIELD
TX
Enumeration date
08/31/2006
Last updated
10/16/2007
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