Individual
DR. JOSEPH TERRENCE KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 S MOSS ST, STE 300, SEGUIN, TX 78155-5122
(830) 379-3937
(830) 303-2367
Mailing address
PO BOX 576, SAN ANTONIO, TX 78292-0576
(830) 379-3937
(830) 303-2367
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L1354
TX
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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