Basic Information
| Provider Information | |||||||||
| NPI: | 1114992807 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUESTERMANN | ||||||||
| FirstName: | SVEN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18410 RUSTLING RDG | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782593635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2104941778 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9901 IH 10 W | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782302246 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2108920228 | ||||||||
| FaxNumber: | 2106940035 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | H46019 | TX | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.