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Contact Information

KERRVILLE MEDICAL SERVICES, PA
145 LA HACIENDA WAY
LA HACIENDA TREATMENT CENTER
HUNT, TX78024
 Phone: 830-238-6123
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KERRVILLE MEDICAL SERVICES, PA

NPI # 1366626517
LBN Legal business name KERRVILLE MEDICAL SERVICES, PA
Authorized official GEORGE BOONE - (PRESIDENT, KERRVILLE MEDICAL SERVIC)
Entity Organization
Organization subpart 1 No
Enumeration date 12/24/2007
Last updated 12/24/2007 - About 18 years ago
Identifiers
TX License # F6460
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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