Individual
JOHN PAUL KUPFERSCHMID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-4100
Mailing address
4410 MEDICAL DR, SUITE 540, SAN ANTONIO, TX 78229-6306
(210) 575-6240
(210) 575-6280
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
K9322
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
K9322
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME167753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042993810 TRAD
—
TX
05
—
042993811 CSN
—
TX
01
—
8EA058
BCBS
TX
Enumeration date
04/26/2006
Last updated
07/08/2024
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