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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

NPI Number 1639405855
LBN Legal business name KERRVILLE MED EXPRESS
Authorized official RICHARD DEBENEDETTO - (PHYSICIAN/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2009
Last updated 12/13/2013 - About 12 years ago
Identifiers
TX License # J9579
TX Medicaid 113326621
TX Other 8CE910 BCBSTX
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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