Individual
DR. KEVIN FRANCIS MASKELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101252522
VA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
0101252522
VA
Other
Enumeration date
04/19/2011
Last updated
08/24/2021
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