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NPI Code Detail

MEDICARE: KERRVILLE MEC, LP

MEDICARE: KERRVILLE MEC, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/CenterK5937TX

General Provider Information

NPI Number : 1003970831
Entity Type Code : Organization
Provider Name (Legal Business Name) : KERRVILLE MEC, LP
Provider Business Mailing Address
First Line : 723 HILL COUNTRY DR STE C
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-6043
Country : US
Telephone Number : 830-792-5800
Fax Number : 830-792-5848
Provider Business Practice Location Address
First Line : 723 HILL COUNTRY DR STE C
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-6043
Country : US
Telephone Number : 830-792-5800
Fax Number : 830-792-5848
Authorized Official
Title or Position : CEO
Name : SCOTT A ANDERSON
Credential :
Telephone Number : 325-643-3300
Provider Enumeration Date : 12/19/2006
Last Update Date : 08/22/2020

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Directions to “KERRVILLE MEC, LP ” Practice Location

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