Phillip W Kostroun in San Antonio - Dietitian, Registered
Phillip W Kostroun - NPI 1003924002
Phillip W Kostroun is a Dietitian, Registered in San Antonio, Texas. Phillip W Kostroun practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Phillip W Kostroun is 1003924002. The last update date is 2007-07-08.
Phillip W Kostroun's current location address is 5107 Medical Dr, San Antonio, Texas. You can contact this provider via phone number 2106148612 and fax number 2106155596. The mailing address for Phillip W Kostroun is 5107 Medical Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip W Kostroun |
|---|---|
| Address | 5107 Medical Dr, San Antonio, Texas |
| Phone Number | 2106148612 |
| Fax Number | 2106155596 |
| Sole Proprietor | N |
| Credentials | REGISTERED |
NPI Number Detail
| NPI Number | 1003924002 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5107 Medical Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 78229 |
| Phone Number | 2106148612 |
| Fax Number | 2106155596 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identifier code assigned to Phillip W Kostroun by the Centers for Medicare & Medicaid Services?
The Phillip W Kostroun has been issued the NPI (National Provider Identifier) 1003924002 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Phillip W Kostroun is physically located?
The Phillip W Kostroun is physically situated at the following address: 5107 Medical Dr, San Antonio, TX, 78229.
What is Phillip W Kostroun's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phillip W Kostroun's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003924002 to Phillip W Kostroun?
The Phillip W Kostroun received its 1003924002 assignment from the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date were the Phillip W Kostroun's details last updated?
The information pertaining to the Phillip W Kostroun, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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