Healthcare Provider Details

I. General information

NPI: 1760490353
Provider Name (Legal Business Name): UROLOGY ASSOCIATES OF KERRVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 CULLY DR STE C
KERRVILLE TX
78028-6084
US

IV. Provider business mailing address

251 CULLY DR STE C
KERRVILLE TX
78028-6084
US

V. Phone/Fax

Practice location:
  • Phone: 830-257-7533
  • Fax: 830-896-4151
Mailing address:
  • Phone: 830-257-7533
  • Fax: 830-896-4151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberJ7326
License Number StateTX

VIII. Authorized Official

Name: DR. RALPH JAMES FRITZSCH
Title or Position: OWNER
Credential: M.D.
Phone: 830-257-7533