Provider Demographics
NPI:1376528810
Name:KOBERT, JOHN E (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:KOBERT
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:7142 SAN PEDRO AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6254
Mailing Address - Country:US
Mailing Address - Phone:210-661-5622
Mailing Address - Fax:210-395-4012
Practice Address - Street 1:495 10TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-3162
Practice Address - Country:US
Practice Address - Phone:830-216-2606
Practice Address - Fax:830-216-4037
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2015-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL9291207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172278701Medicaid
TXP00183033OtherMEDICARE RAILROAD
TXI18393Medicare UPIN
TX172278701Medicaid