SearchTexas363AM0700X

Kevin Stuessy

NPI 1437577632 · on the registry since 2014 · sole proprietor

Practice

Address
221 3rd St W Bldg 1040
Jbsa Randolph, TX 78150
Phone
(210) 652-0304
Clinicians at this address
74

Additional practice sites

  • 4700 Las Vegas Blvd N, Nellis Afb, NV
  • 443 Chaplian Madsig Ave, Presidio Of Monterey, CA

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363AM0700X
390200000X
Licence states on file
CA, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas