Provider Demographics
NPI:1184815367
Name:KANZ, BRIAN NOLAN (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:NOLAN
Last Name:KANZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20770 US HIGHWAY 281 N # 108-439
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7655
Mailing Address - Country:US
Mailing Address - Phone:210-510-2400
Mailing Address - Fax:210-510-2401
Practice Address - Street 1:10622 STATE HIGHWAY 151 STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4864
Practice Address - Country:US
Practice Address - Phone:210-510-2400
Practice Address - Fax:210-510-2401
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0029078207X00000X
TXN7707207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX303298901Medicaid
4641188509OtherMYUTMB 4641188509
4641188509OtherMYUTMB 4641188509