Healthcare Provider Details

I. General information

NPI: 1376505925
Provider Name (Legal Business Name): KERR COUNTY OB/GYN ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 HILL COUNTRY DR STE 300A
KERRVILLE TX
78028-6079
US

IV. Provider business mailing address

708 HILL COUNTRY DR STE 300A
KERRVILLE TX
78028-6079
US

V. Phone/Fax

Practice location:
  • Phone: 830-895-7755
  • Fax: 830-895-7757
Mailing address:
  • Phone: 830-895-7755
  • Fax: 830-895-7757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number501903
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number747538
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA G. WAMPLER
Title or Position: PARTNER/OWNER
Credential: M.D.
Phone: 830-895-7755