Kitano, Mio

Kitano, Mio is an individual health care provider with primary practice located at 7979 Wurzbach Rd 6Th Floor, Zeller Bldg, San Antonio TX 78229-4427. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Kitano, Mio can be contacted via phone (210) 450-5990.

Contact Information

Primary practice address
7979 Wurzbach Rd 6Th Floor, Zeller Bldg San Antonio TX 78229-4427
Fax: (210) 450-1747
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 51796020 Wisconsin
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X Q9655 Texas

Profile Details

NPI number 1740415785
LBN Legal business name Kitano, Mio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2009
Last updated Nov 14th, 2016 - about 8 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 1740415785 NPPES
Texas MEDICAID 363450301
Texas Other 363450302

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