Individual
DEAN KELLOGG, JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 257-1400
Mailing address
UTHSCSA, UTHSCSA, DEPT. OF MEDICINE, 7703 FLOYD CURL DRIVE, RM 5.069R, SAN ANTONIO, TX 78229
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
H0515
TX
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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