Killewich, Lois Archer

Killewich, Lois Archer is an individual health care provider with primary practice located at 4502 Medical Dr 3Rd Floor, San Antonio TX 78229-4402. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Killewich, Lois Archer can be contacted via phone (210) 358-2074.

Contact Information

Primary practice address
4502 Medical Dr 3Rd Floor San Antonio TX 78229-4402
Phone: (210) 358-2074
Fax: (210) 358-4779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X L9764 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X L9764 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X L9764 Texas

Profile Details

NPI number 1316058274
LBN Legal business name Killewich, Lois Archer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316058274 NPPES
Texas Other 100476404 MEDICAID CSHCN
Texas MEDICAID 100476403 MEDICAID CSHCN

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