Provider Demographics
NPI:1407853187
Name:KUAN, ANNE SU WAH (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:SU WAH
Last Name:KUAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8303 W MILITARY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-1841
Mailing Address - Country:US
Mailing Address - Phone:210-674-6130
Mailing Address - Fax:210-674-0990
Practice Address - Street 1:8303 W MILITARY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-1841
Practice Address - Country:US
Practice Address - Phone:210-674-6130
Practice Address - Fax:210-674-0990
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2016-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH5336207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105277103OtherWELLMED MEDICAID
TX8C7595OtherWELLMED MEDICARE
TX8C7595OtherWELLMED MEDICARE