Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | R6597 | TX |
NPI | 1164854410 |
---|---|
Provider Name | Dr. Alexander Bradley Kreines |
First Address | San Antonio, TX 78251-4776 |
Second Address | San Antonio, TX 78251-4776 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2013 |
Last Update Date | 27/05/2021 |