KELLCY MEDICAL GROUP P.A. NPI 1881813806

NPI Information

  • NPI: 1881813806
  • Provider Name: KELLCY MEDICAL GROUP, P.A.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Former Legal Business Name: DEHOYOS MEDICAL GROUP, P.A.
  • CLIA Number: 45D2301315
  • Address: 204 CAMP WILLOW RD
    NEW BRAUNFELS, TX
    ZIP 78130
  • Phone: (830) 627-9208

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NPI Details

KELLCY MEDICAL GROUP, P.A. is an internal medicine in New Braunfels, 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. KELLCY MEDICAL GROUP, P.A. NPI is 1881813806. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Dehoyos Medical Group, P.a..

The provider's business location address is:

204 CAMP WILLOW RD
NEW BRAUNFELS, TX
ZIP 78130-805
Phone: (830) 627-9208
Fax: (830) 625-0353

The provider's authorized official is Martha Brandenburg .
The authorized official title is BILLING ADMINAdmin and has the following contact phone number (830) 627-9208.

The CLIA number assigned to this NPI record is 45D2301315 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 7/30/2024.

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
1207R00000XInternal MedicineK5088TEXASYes
2208000000XPediatricsK5088TEXASNo

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
1143316101MEDICAIDTEXAS

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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