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NPI Code Detail

MEDICARE: DR. WILLIAM D. KOTTMAN M.D.

MEDICARE:  DR. WILLIAM D. KOTTMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianK5590TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356310858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM D. KOTTMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 734812
Second Line :
City : DALLAS
State : TX
Zip : 75373-4812
Country : US
Telephone Number : 210-358-9500
Fax Number : 210-358-9183
Provider Business Practice Location Address
First Line : 1055 ADA ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-1703
Country : US
Telephone Number : 210-358-5515
Fax Number : 210-358-5530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 01/29/2021

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Directions to “ DR. WILLIAM D. KOTTMAN M.D.” Practice Location

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