Individual
DR. BONNY C. KOEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4500
(210) 567-0083
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4500
(210) 567-0083
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H3862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129578408
—
TX
Enumeration date
08/24/2006
Last updated
01/24/2023
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