Healthcare Provider Details

I. General information

NPI: 1184671398
Provider Name (Legal Business Name): FRANK K KUWAMURA III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3503 PAESANOS PKWY STE 201
SHAVANO PARK TX
78231-1225
US

IV. Provider business mailing address

3503 PAESANOS PKWY STE 201
SAN ANTONIO TX
78231-1225
US

V. Phone/Fax

Practice location:
  • Phone: 210-504-3650
  • Fax: 210-519-3056
Mailing address:
  • Phone: 210-504-3650
  • Fax: 210-519-3056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberK7324
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberK7324
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: