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General NPI Number Information
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NPI Number | 1285688168
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Entity Type | Individual
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Provider Name | MIKA KAMADA COLE M.D,
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 8001 BROADWAY ST
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City | SAN ANTONIO
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State | TX
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Zip | 78209-5713
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Country | US
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Telephone | 210-930-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 8001 BROADWAY ST
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City | SAN ANTONIO
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State | TX
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Zip | 78209-2628
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Country | US
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Telephone | 210-930-4555
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | H8701
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | H8701
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License Number State | TX
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