Provider Demographics
NPI:1548581820
Name:H N KUMARA, MD PA
Entity Type:Organization
Organization Name:H N KUMARA, MD PA
Other - Org Name:HALEKOTE N KUMARA, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HALEKOTE
Authorized Official - Middle Name:N
Authorized Official - Last Name:KUMARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-921-2011
Mailing Address - Street 1:102 PALO ALTO RD
Mailing Address - Street 2:SUITE 133
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78211-3758
Mailing Address - Country:US
Mailing Address - Phone:210-921-2011
Mailing Address - Fax:210-590-6997
Practice Address - Street 1:102 PALO ALTO RD
Practice Address - Street 2:SUITE 133
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-3758
Practice Address - Country:US
Practice Address - Phone:210-921-2011
Practice Address - Fax:210-590-6997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5397208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE5397OtherLISCENSE