Provider Demographics
NPI:1982877825
Name:KOTHMANN, ERNEST CONRAD (DC)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:CONRAD
Last Name:KOTHMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 US HIGHWAY 90 W
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-4540
Mailing Address - Country:US
Mailing Address - Phone:830-931-2211
Mailing Address - Fax:830-538-3778
Practice Address - Street 1:209 US HIGHWAY 90 W
Practice Address - Street 2:SUITE 2
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-4540
Practice Address - Country:US
Practice Address - Phone:830-931-2211
Practice Address - Fax:830-538-3778
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor