Provider Type Icon

MEDICAL SURGICAL SPECIALIST OF KERRVILLE PA NPI 1730519158


NPI Information

NPI: 1730519158
Provider Name: MEDICAL SURGICAL SPECIALIST OF KERRVILLE, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1001 WATER ST STE D-200
KERRVILLE, TX
ZIP 78028
Phone: (830) 896-5005
Get Directions

MEDICAL SURGICAL SPECIALIST OF KERRVILLE, PA is a specialist in Kerrville, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MEDICAL SURGICAL SPECIALIST OF KERRVILLE, PA NPI is 1730519158. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1001 WATER ST STE D-200
KERRVILLE, TX
ZIP 78028-566
Phone: (830) 896-5005
Fax: (830) 896-4747

The provider's authorized official is Jennifer Hughes .
The authorized official title is Officer Manager and has the following contact phone number (830) 896-5005.

The enumeration date for this NPI number is 11/21/2013 and was last updated on 3/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistG2979TEXASNo
2174400000XSpecialistH9895TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1097289502MEDICAIDTEXAS
2136809405MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.