Individual
KRISTEN BREWER KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 247-7860
Mailing address
7418 JOHN SMITH, SUITE 218, SAN ANTONIO, TX 78229-6020
(210) 614-0959
(210) 614-7522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
LL 262025
SC
2085R0202X
Diagnostic Radiology Physician
Primary
N0178
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197245701
—
TX
01
—
8M2156
BCBS
TX
01
—
P00628198
MEDICARE RAILROAD
TX
Enumeration date
10/23/2006
Last updated
01/10/2009
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