Individual
KRISTIN L BUSSEY-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19260 STONE OAK PKWY, SUITE 101, SAN ANTONIO, TX 78258-3365
(210) 495-4335
(210) 587-7415
Mailing address
19260 STONE OAK PKWY, SUITE 101, SAN ANTONIO, TX 78258-3365
(210) 495-4335
(210) 587-7415
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
M5080
TX
207KA0200X
Allergy Physician
M5080
TX
207R00000X
Internal Medicine Physician
M5080
TX
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
M5080
TX
207RR0500X
Rheumatology Physician
Primary
M5080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191307101
—
TX
Enumeration date
08/01/2007
Last updated
09/21/2022
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