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Individual

MATTHIAS H KAPTURCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4330 MEDICAL DR STE 105, SAN ANTONIO, TX 78229-3342
(210) 692-7228
(210) 692-9671
Mailing address
7142 SAN PEDRO AVE, SUITE 120, SAN ANTONIO, TX 78216-6254
(210) 661-5622
(210) 798-6811

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
25618
AL
207RN0300X
Nephrology Physician
Primary
M7318
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00522291
MISSISSIPPI MEDICAID
MS
05
009942785
AL
01
051519668
BLUE CROSS
AL
01
051519669
BLUE CROSS
AL
05
051554438
AL
05
192391401
TX
01
P00605744
MEDICARE RAILROAD
TX
Enumeration date
06/27/2006
Last updated
08/26/2020
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