Individual
CECELIA A KOTHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 PERSON STREET, STOCKDALE, TX 78160-9998
(830) 996-3701
(830) 996-3749
Mailing address
923 10TH ST, SUITE 101, PMB 118, FLORESVILLE, TX 78114-1867
(830) 996-3701
(830) 996-3749
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
238956
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP111061
TX
Other
Enumeration date
02/28/2007
Last updated
07/15/2021
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