National Provider Identifier Database

PHOENIX MEDICAL ASSOCIATES
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

PHOENIX MEDICAL ASSOCIATES
222 SIDNEY BAKER SOUTH
SUITE 500
KERRVILLE, TX78028-5900
Phone: 830-895-7675
Fax: 830-896-3082
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for PHOENIX MEDICAL ASSOCIATES

NPI Number 1790736239
Legal business name
LBN
PHOENIX MEDICAL ASSOCIATES
Authorized official ANAND MEHENDALE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/12/2006
Last updated 09/08/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: G1112
  • TX Medicaid: 080790101
  • TX Other: 0093CZ BLUE CROSS BLUE SHIELD
  • TX Other: 00564K MEDICARE PTAN
  • TX Other: CJ3940 RAILROAD MEDICARE

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.

Reviews for PHOENIX MEDICAL ASSOCIATES

There are currently no reviews for PHOENIX MEDICAL ASSOCIATES


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