Provider Demographics
NPI:1336158682
Name:KAGAN, HOWARD I (PA)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:I
Last Name:KAGAN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:110 STONE OAK LOOP
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3510
Mailing Address - Country:US
Mailing Address - Phone:210-268-0129
Mailing Address - Fax:806-497-3593
Practice Address - Street 1:110 STONE OAK LOOP
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3510
Practice Address - Country:US
Practice Address - Phone:210-268-0129
Practice Address - Fax:806-497-3593
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2021-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA01614363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant