Provider Demographics
NPI:1558684043
Name:KISHMAN, ADAM JAMES (DSC, PA-C)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JAMES
Last Name:KISHMAN
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Gender:M
Credentials:DSC, PA-C
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Mailing Address - Street 1:7940 FLOYD CURL DR STE 620
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3936
Mailing Address - Country:US
Mailing Address - Phone:210-212-6202
Mailing Address - Fax:210-585-4285
Practice Address - Street 1:7940 FLOYD CURL DR STE 620
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3936
Practice Address - Country:US
Practice Address - Phone:210-212-6202
Practice Address - Fax:210-585-4285
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2024-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
TXPA14078363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant