Basic Information
| Provider Information | |||||||||
| NPI: | 1063896199 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAUR | ||||||||
| FirstName: | NEERAJ | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7703 FLOYD CURL DR | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782293900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2103580000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7703 FLOYD CURL DRIVE | ||||||||
| Address2: | UNIVERSITY OF HEALTH SCIENCE CENTER AT SAN ANTONIO | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78229 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2105674724 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2015 | ||||||||
| LastUpdateDate: | 08/02/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | BP10052394 | TX | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.