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Dr. Kennard Lee Kollaus, MD
Family Medicine Physician in Eagle Pass, Texas
NPI 1528147063

Kennard Lee Kollaus is a Family Medicine Physician based in Eagle Pass, TX. Kennard Lee Kollaus practices in Eagle Pass, TX and has the professional credentials of MD. The NPI Number for Kennard Lee Kollaus is 1528147063 and holds a License No. G8222 (Texas).

The current practice location address for Kennard Lee Kollaus is 2525 N Veterans Blvd, Eagle Pass, TX and can be reached out via phone at 830-773-5358 and via fax at 830-773-0258.

Location: 2525 N Veterans Blvd, Eagle Pass, TX, 78853-1470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528147063
Provider Name
Kennard Lee Kollaus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2525 N Veterans Blvd, Eagle Pass, TX, 78853-1470
Phone Number
830-773-5358
Fax Number
830-773-0258
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1277162-10 01 TX MEDICAID-TX PROVIDER IDENTIFIER (TPI) # (TYPE: PERFORMING PROVIDER)
institution
Provider Business Practice Location Address Details
Address
2525 N Veterans Blvd
City
Eagle Pass
State
Texas
Zip
78852-3302
Phone Number
830-773-5358
Fax Number
830-773-0258
person
Provider Business Mailing Address Details
Address
2525 N Veterans Blvd
City
Eagle Pass
State
Texas
Zip
78852-3302
Phone Number
830-773-5358
Fax Number
830-773-0258
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
G8222 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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