Kizzart, Jerome Douglas

Kizzart, Jerome Douglas is an sole proprietor health care provider with primary practice located at 1004 S Saint Marys St , San Antonio TX 78205-3413. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kizzart, Jerome Douglas can be contacted via phone (830) 299-4040.

Contact Information

Primary practice address
1004 S Saint Marys St San Antonio TX 78205-3413
Phone: (830) 299-4040
Fax: (281) 826-2598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X H3823 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X H3823 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H3823 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X H3823 Texas

Profile Details

NPI number 1750329140
LBN Legal business name Kizzart, Jerome Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2006
Last updated Nov 29th, 2014 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750329140 NPPES
Texas Other 8V1922 BCBS
Texas Other P00382498 BCBS

Popular Providers