Doctor Name: | MRS. KIMBERLY DAWN CORTEZ |
NPI Number: | 1093954034 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AESTHETICIAN |
License Number: | 001188028 |
Business Practice Address: | 5738 Timberhurst San Antonio, TX - 782504177 |
Business Phone Number: | 2104610477 |
Business Fax Number: | 2106809440 |
Mailing Address: | 5738 Timberhurst, SAN ANTONIO |
State: | TX |
Postal Code: | 782504177 |
Phone Number: | 2104610477 |
Fax Number: | 2106809440 |
NPI Enumeration Date: | 02/15/2009 |
NPI Last Update Date: | 02/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 001188028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |