MEDICARE: WENDY PEET MCCURLEY MD

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
1	207Q00000X	Family Medicine Physician	N7721	TX

General Provider Information

NPI Number	:	1720380108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY PEET MCCURLEY MD

Provider Business Mailing Address
First Line	:	136 OLD SAN ANTONIO RD
Second Line	:	406
City	:	BOERNE
State	:	TX
Zip	:	78006-3413
Country	:	US
Telephone Number	:	830-816-5800
Fax Number	:	830-816-5860

Provider Business Practice Location Address
First Line	:	136 OLD SAN ANTONIO RD
Second Line	:	406
City	:	BOERNE
State	:	TX
Zip	:	78006-3413
Country	:	US
Telephone Number	:	830-816-5800
Fax Number	:	830-816-5860

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2010
Last Update Date	:	02/20/2015

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