Individual
DR. RADOSLAW STEFAN KIESZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18615 TUSCANY STONE, SUITE 170, SAN ANTONIO, TX 78258-3489
(210) 272-0649
(210) 592-1462
Mailing address
18615 TUSCANY STONE, SUITE 170, SAN ANTONIO, TX 78258-3486
(210) 272-0098
(210) 592-1462
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H7769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161214501
—
TX
Enumeration date
06/01/2006
Last updated
12/30/2011
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