Provider Demographics
NPI:1639561921
Name:FRANK K. KUWAMURA III MD PA
Entity Type:Organization
Organization Name:FRANK K. KUWAMURA III MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:KUWAMURA
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:210-504-3650
Mailing Address - Street 1:525 OAK CENTRE DR STE 140
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3916
Mailing Address - Country:US
Mailing Address - Phone:210-504-3650
Mailing Address - Fax:210-519-3056
Practice Address - Street 1:525 OAK CENTRE DR
Practice Address - Street 2:STE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3944
Practice Address - Country:US
Practice Address - Phone:210-504-3650
Practice Address - Fax:210-399-2731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7324207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8974203Medicaid
TXG64246Medicare UPIN