Individual provider · Type 1 NPI

Kennedy Michael Tlaseca, MD

Family Medicine Physician · San Antonio, TX

NPI number 1639604069 Active

Practice location

1055 Ada St
San Antonio, TX 78223-1703

Call (210) 358-5515 Map

Fax (210) 358-5530

Mailing address

PO Box 734812
Dallas, TX 75373-4812

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	S6963 (TX)
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Pediatrics Physician	208000000X	S6963 (TX)

Family Medicine Physician: 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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About NPI 1639604069

Kennedy Michael Tlaseca, MD's National Provider Identifier is 1639604069, issued on Apr 24, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in San Antonio, TX. The record was last updated on Dec 21, 2021.