Lois Archer Killewich
Surgeon Vascular Surgeon Surgical Critical Care
4502 Medical Dr 3rd Floor
San Antonio
, Texas 78229-4402
Lois Archer Killewich
Surgeon Vascular Surgeon Surgical Critical Care
4502 Medical Dr 3rd Floor
San Antonio
, Texas 78229-4402
(210) 450-9000
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Lois Archer Killewich
- 7703 Floyd Curl Dr Mc7977
- San Antonio, TX
- Zip : 78229-3901
- Phone : (210) 450-9000
Second Address
- Lois Archer Killewich
- 4502 Medical Dr 3rd Floor
- San Antonio, TX
- Zip : 78229-4402
- Fax : (210) 358-4779
- Phone : (210) 358-2074
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What type of doctor is Lois Archer Killewich
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Is Lois Archer Killewich a sole practitioner?
Is Lois Archer Killewich accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | L9764 | TX |
| N | 208600000X | Surgeon | L9764 | TX |
| N | 2086S0102X | Surgical Critical Care | L9764 | TX |
| Y | 2086S0129X | Vascular Surgeon | L9764 | TX |
National Provider Identifier
| NPI | 1316058274 |
|---|---|
| Provider Name | Lois Archer Killewich |
| First Address | San Antonio, TX 78229-3901 |
| Second Address | San Antonio, TX 78229-4402 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 05/12/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100476403 | (05) | TX |
| 100476404 | MEDICAID CSHCN (01) | TX |
| E58403 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.