Individual
KERMIT SPEEG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7979 WURZBACH RD # MC7977, SAN ANTONIO, TX 78229-4427
(210) 450-9000
Mailing address
7979 WURZBACH RD # MC7977, SAN ANTONIO, TX 78229-4427
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
G4718
TX
207RI0008X
Hepatology Physician
Primary
G4718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046549401
—
TX
01
—
046549402
CSHCN
TX
05
—
046549404
—
TX
01
—
046549405
CSHCN
TX
05
—
046549406
—
TX
Enumeration date
08/04/2006
Last updated
03/02/2022
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