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Contact Information

CENTRIC PHYSICIANS GULF REGION PLLC
113 PLEASANT VALLEY DR STE 210
BOERNE, TX78006-5683
 Phone: 830-267-4575
 Fax: 830-267-4575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CENTRIC PHYSICIANS GULF REGION PLLC

NPI # 1619404795
LBN Legal business name CENTRIC PHYSICIANS GULF REGION PLLC
Authorized official LAURA GIVENS - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2017
Last updated 11/22/2022 - About 4 years ago
Identifiers n/a
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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