Organization
WEST KIRK MEDICAL PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONEL TANO (M.D.)
(210) 227-9408
Entity
Organization
Contact information
Practice address
711 KIRK PL, SAN ANTONIO, TX 78226-1416
(210) 227-9408
Mailing address
711 KIRK PL, SAN ANTONIO, TX 78226-1416
(210) 227-9408
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
E7516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112094101
—
TX
05
—
112094102
—
TX
05
—
112094103
—
TX
05
—
112094104
—
TX
05
—
168296501
—
TX
01
—
5903
AETNA
TX
01
—
8K1570
BCBS
TX
Enumeration date
10/11/2007
Last updated
09/16/2014
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