Provider Demographics
NPI:1205813896
Name:KOPCHINSKI, BERNARD JOSEPH (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:JOSEPH
Last Name:KOPCHINSKI
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Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:18707 HARDY OAK BLVD
Mailing Address - Street 2:SUITE 455
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4791
Mailing Address - Country:US
Mailing Address - Phone:210-255-1764
Mailing Address - Fax:210-255-8891
Practice Address - Street 1:18707 HARDY OAK BLVD
Practice Address - Street 2:SUITE 455
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4791
Practice Address - Country:US
Practice Address - Phone:210-255-1764
Practice Address - Fax:210-255-8891
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2013-03-01
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Provider Licenses
StateLicense IDTaxonomies
TXK3597208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery