MEDICARE: DR. KENNETH JOHN STALLMAN 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	208800000X	Urology Physician	M0931	TX

General Provider Information

NPI Number	:	1871575100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH JOHN STALLMAN M.D.

Provider Business Mailing Address
First Line	:	7909 FREDERICKSBURG RD
Second Line	:	SUITE #110
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3425
Country	:	US
Telephone Number	:	210-614-4544
Fax Number	:	210-582-5522

Provider Business Practice Location Address
First Line	:	7909 FREDERICKSBURG RD STE 125
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3448
Country	:	US
Telephone Number	:	210-614-4544
Fax Number	:	210-679-3712

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	04/17/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1982638235 — MRS. REENA TERESE DOANE PA-C
Practice Location Address:

7909 FREDERICKSBURG RD STE 125
SAN ANTONIO, TX
78229-3448

Practice Phone: 210-614-4544
Practice Fax: 210-679-3712

1568642296 — DR. CHRISTOPHER H CANTRILL MD
Practice Location Address:

7909 FREDERICKSBURG RD STE 120
SAN ANTONIO, TX
78229-3448

Practice Phone: 210-614-4544
Practice Fax: 210-679-3711

1023470796 — DR. SUSAN MARIE TALAMINI MD
Practice Location Address:

7909 FREDERICKSBURG RD STE 120
SAN ANTONIO, TX
78229-3448

Practice Phone: 210-614-4544
Practice Fax: 210-679-3724

1184284853 — DR. AUSTIN GOZIAM ENENMOH MD
Practice Location Address:

7909 FREDERICKSBURG RD STE 125
SAN ANTONIO, TX
78229-3448

Practice Phone: 210-614-4544
Practice Fax: 210-679-3712

1881954519 — SANDRA MARIA BAEZ-CURCIO LPC
Practice Location Address:

19230 STONEHUE , SUITE 105
SAN ANTONIO, TX
78258-3448

Practice Phone: 210-784-0505
Practice Fax: 330-782-4750

Directions to “ DR. KENNETH JOHN STALLMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.