KERRVILLE MED EXPRESS NPI 1639405855

NPI Information

  • NPI: 1639405855
  • Provider Name: KERRVILLE MED EXPRESS
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: INTERNATIONAL FAMILY CLINIC
  • Address: 2217 PADRE BLVD
    SOUTH PADRE ISLAND, TX
    ZIP 78597
  • Phone: (956) 761-4649

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NPI Details

KERRVILLE MED EXPRESS is an internal medicine in South Padre Island, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KERRVILLE MED EXPRESS NPI is 1639405855. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As International Family Clinic.

The provider's business location address is:

2217 PADRE BLVD
SOUTH PADRE ISLAND, TX
ZIP 78597
Phone: (956) 761-4649
Fax: (866) 594-1025

The provider's authorized official is Richard Bruce Debenedetto .
The authorized official title is Physician/medical Director and has the following contact phone number (956) 761-4649.

The enumeration date for this NPI number is 10/22/2009 and was last updated on 12/13/2013.

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
1207PE0004XEmergency MedicineEmergency Medical ServicesJ9579TEXASNo
2207R00000XInternal MedicineJ9579TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10A5310MEDICARE PINTEXAS
2G52899MEDICARE UPINTEXAS
3113326621MEDICAIDTEXAS
48CE910OTHERTEXASBCBSTX
58F23012MEDICARE PINTEXAS

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: 11/21/2025

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