Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phillip W Kostroun, REGISTEREDDIETITIAN

Individual provider Registered Dietitian · NPI 1003924002

Phillip W Kostroun, REGISTEREDDIETITIAN is a Registered Dietitian OR Nutrition Professional in San Antonio, Texas. Qualified in 1996, 30 years ago. Practices with Diabetes and Glandular Disease Clinic PA, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
30
In the registry since
2006
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Practice location Address checks out

5107 Medical Dr
San Antonio, TX 78229
Phone: (210) 614-8612
Fax: (210) 615-5596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1003924002
Entity typeIndividual (Type 1)
GenderMale
Credentials REGISTEREDDIETITIAN
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Diabetes And Glandular Disease Clinic Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Antonio