Healthcare Provider Details

I. General information

NPI: 1093463838
Provider Name (Legal Business Name): KIRCHNER WOMENS CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2022
Last Update Date: 03/11/2022
Certification Date: 03/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1339 E COURT ST STE 210
SEGUIN TX
78155-5141
US

IV. Provider business mailing address

1339 E COURT ST STE 210
SEGUIN TX
78155-5141
US

V. Phone/Fax

Practice location:
  • Phone: 830-379-1500
  • Fax:
Mailing address:
  • Phone: 830-379-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALYSON KIRCHNER
Title or Position: OWNER
Credential: MD
Phone: 210-867-8322