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KERRVILLE MEDICAL SERVICES PA NPI 1366626517


NPI Information

NPI: 1366626517
Provider Name: KERRVILLE MEDICAL SERVICES, PA
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
145 LA HACIENDA WAY
LA HACIENDA TREATMENT CENTER
HUNT, TX
ZIP 78024
Phone: (830) 238-6123
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KERRVILLE MEDICAL SERVICES, PA is an addiction medicine internal medicine in Hunt, TX. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. KERRVILLE MEDICAL SERVICES, PA NPI is 1366626517. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

145 LA HACIENDA WAY
LA HACIENDA TREATMENT CENTER
HUNT, TX
ZIP 78024
Phone: (830) 238-6123

The provider's authorized official is George Daniel Boone .
The authorized official title is President, Kerrville Medical Servic and has the following contact phone number (830) 238-6123.

The enumeration date for this NPI number is 12/24/2007 and was last updated on 12/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0401XInternal MedicineAddiction MedicineF6460TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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