Individual
DR. GERALD MAX KOPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 OAK CENTRE DR STE 270, SAN ANTONIO, TX 78258-3917
(210) 270-2992
(210) 224-7898
Mailing address
525 OAK CENTRE DR STE 270, SAN ANTONIO, TX 78258-3917
(210) 270-2992
(210) 224-7898
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E3343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1371692-14
—
TX
01
—
P01267088
RR MEDICARE
TX
Enumeration date
11/23/2005
Last updated
08/02/2023
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