Individual
DEAN L KELLOGG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
S1147
TX
207RP1001X
Pulmonary Disease Physician
Primary
S1147
TX
208M00000X
Hospitalist Physician
S1147
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398458501
—
TX
Enumeration date
04/13/2016
Last updated
09/14/2023
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