MEDICARE: DR. KATHRYN SWANN HOLLOWAY 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
1	207V00000X	Obstetrics & Gynecology Physician	P7282	TX

General Provider Information

NPI Number	:	1417181967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN SWANN HOLLOWAY M.D.

Provider Business Mailing Address
First Line	:	1355 CENTRAL PKWY S
Second Line	:	STE 400
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-5055
Country	:	US
Telephone Number	:	210-349-9300
Fax Number	:	210-366-2558

Provider Business Practice Location Address
First Line	:	1139 E SONTERRA BLVD STE 205
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4349
Country	:	US
Telephone Number	:	210-614-2229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	07/14/2015

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