Individual
DR. KASSIA LOUEVA KUBENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5255 PRUE RD, STE. 105, SAN ANTONIO, TX 78240-1335
(210) 877-9966
(210) 877-1162
Mailing address
5255 PRUE RD, SUITE 105, SAN ANTONIO, TX 78240-1335
(210) 877-9966
(210) 877-1162
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K6067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047539403
—
TX
Enumeration date
08/29/2005
Last updated
06/03/2008
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