Individual
JUDITH M KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2078
(210) 358-1972
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-2078
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R0602
TX
207Q00000X
Family Medicine Physician
OS013214
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018137690006
—
PA
05
—
365571401
—
TX
01
—
365571402
CSHCN
TX
Enumeration date
07/20/2005
Last updated
01/23/2017
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