| Phillip W Kostroun, REGISTERED DIETITIAN | |
|
5107 Medical Dr, San Antonio, TX 78229 | |
| (210) 614-8612 | |
| (210) 615-5596 |
| Full Name | Phillip W Kostroun |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 29 Years |
| Location | 5107 Medical Dr, San Antonio, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003924002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diabetes And Glandular Disease Clinic Pa | 3375443930 | 9 |
| Provider Name | Diabetes And Glandular Disease Clinic Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427166305 PECOS PAC ID: 3375443930 Enrollment ID: O20040110000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip W Kostroun, REGISTERED DIETITIAN 5107 Medical Dr, San Antonio, TX 78229 Ph: (210) 614-8612 | Phillip W Kostroun, REGISTERED DIETITIAN 5107 Medical Dr, San Antonio, TX 78229 Ph: (210) 614-8612 |
Maria Jimae Orlikoski, MBA, RD, LD, CEDS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25902 Oak Top Vw, San Antonio, TX 78255 Phone: 210-201-2362 | |
Ms. Leticia Gutierrez, MS.RD.LD. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Concord Plaza Drive, Suite 430, San Antonio, TX 78216 Phone: 210-477-9242 | |
Mrs. Kaylyn Pratt Randall, PA Dietitian Medicare: Medicare Enrolled Practice Location: 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229 Phone: 210-541-8281 Fax: 210-541-9123 | |
Sarah Treat, MS, CCN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16535 Huebner, Suite 112, San Antonio, TX 78248 Phone: 210-455-7892 | |
Julia Ou, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 646 S Flores St, San Antonio, TX 78204 Phone: 210-938-8000 | |
Kaelin Ramas, MDS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 Stone Hill Ct, San Antonio, TX 78258 Phone: 956-330-4329 |