Individual
KELSEY CACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA-FORT SAM HOUSTON, SAN ANTONIO, TX 78234-4504
(210) 292-5077
(210) 292-7868
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
35.139029
OH
208D00000X
General Practice Physician
35.139029
OH
Other
Enumeration date
04/06/2016
Last updated
05/03/2024
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