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NPI Code Detail

MEDICARE: ROBERT W KOTTMAN MD

MEDICARE: ROBERT W KOTTMAN MD
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
1207P00000XEmergency Medicine PhysicianE4880TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20053REOTHERTXBCBSTX
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
48N2602OTHERTXBCBSTX

General Provider Information

NPI Number : 1558356600
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT W KOTTMAN MD
Provider Business Mailing Address
First Line : 8401 DATAPOINT DR
Second Line : SUITE 500
City : SAN ANTONIO
State : TX
Zip : 78229-5907
Country : US
Telephone Number : 210-614-0180
Fax Number : 210-615-7170
Provider Business Practice Location Address
First Line : 8401 DATAPOINT DR
Second Line : SUITE 500
City : SAN ANTONIO
State : TX
Zip : 78229-5907
Country : US
Telephone Number : 210-614-0180
Fax Number : 210-615-7170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 04/27/2009

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