Individual
DR. CALEN WADE KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3351 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234
(830) 431-1169
Mailing address
1915 KERRISDALE DR, SAN ANTONIO, TX 78260-4423
(830) 431-1169
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
0101275032
VA
207VX0201X
Gynecologic Oncology Physician
210002356
DC
Other
Enumeration date
03/31/2015
Last updated
07/12/2024
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