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Contact Information

KERRVILLE MED EXPRESS
2217 PADRE BLVD
SOUTH PADRE ISLAND, TX78597
 Phone: 956-761-4649
 Fax: 866-594-1025
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KERRVILLE MED EXPRESS · (Female)

NPI # 1639405855
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2009
Last updated 12/13/2013 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # J9579
  • TX Medicaid 113326621
  • TX Other 8CE910 BCBSTX
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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