Individual
DR. PAUL GLEN KERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7760
Mailing address
3510 N LOOP 1604 E, SAN ANTONIO, TX 78247-2303
(210) 375-7790
(210) 979-9686
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K1225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1377657-11
—
TX
Enumeration date
11/22/2005
Last updated
02/14/2019
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