Provider Demographics
NPI:1851506034
Name:WILLIAM KERN DESCHNER MD PA GASTROENTEROLOGY OF SAN MARCOS
Entity Type:Organization
Organization Name:WILLIAM KERN DESCHNER MD PA GASTROENTEROLOGY OF SAN MARCOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:COLES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-754-8676
Mailing Address - Street 1:1305 WONDER WORLD DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7546
Mailing Address - Country:US
Mailing Address - Phone:512-754-8676
Mailing Address - Fax:512-754-8680
Practice Address - Street 1:1305 WONDER WORLD DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7546
Practice Address - Country:US
Practice Address - Phone:512-754-8676
Practice Address - Fax:512-754-8680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty