Individual
DR. MICHAEL D. KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4499 MEDICAL DR, SUITE 166, SAN ANTONIO, TX 78229-3735
(210) 575-8514
(210) 575-8647
Mailing address
8201 EWING HALSELL, MEZZANINE FLOOR, SAN ANTONIO, TX 78229-3707
(210) 575-8514
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L4509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161039604
—
TX
01
—
161039605
CSN
TX
01
—
8BX126
BCBS
TX
01
—
P00692817
R.ROAD
TX
Enumeration date
04/26/2006
Last updated
02/13/2017
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