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Contact Information

JEROME D. KIZZART, M.D./REBECCA PREISS GEN PTR
6511 US HIGHWAY 181 N
SUITE 1
FLORESVILLE, TX78114-6281
 Phone: 830-393-2400
 Fax: 830-393-2488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospitalist

208M00000X
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JEROME D. KIZZART, M.D./REBECCA PREISS GEN PTR

NPI # 1710147285
LBN Legal business name JEROME D. KIZZART, M.D./REBECCA PREISS GEN PTR
Authorized official JEROME KIZZART - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2008
Last updated 09/03/2010 - About 16 years ago
Identifiers
TX License # H3823
TX Medicaid 138050310
TX Other 0679188 AETNA
TX Other 004117860 AETNA TRS CARE
TX Other 0020MB BCBS
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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