Individual
MAI KA KOSTUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3327 RESEARCH PLZ STE 414, SAN ANTONIO, TX 78235-5159
(773) 641-8500
Mailing address
2461 PENNILYNN WAY, SAN ANTONIO, TX 78253-4339
(773) 641-8500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP1028382
TX
363LF0000X
Family Nurse Practitioner
AP1028382
TX
Other
Enumeration date
02/11/2025
Last updated
06/11/2025
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