Individual
DR. NATALIE NIKEISHA KISSOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 N SAN SABA, SUITE 201, SAN ANTONIO, TX 78207-3154
(210) 704-3800
(210) 704-0065
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 704-3800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q3904
TX
2080C0008X
Child Abuse Pediatrics Physician
MD14002
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346780501
—
TX
Enumeration date
06/11/2008
Last updated
08/27/2015
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