PETERSON MEDICAL ASSOCIATES NPI 1770800575

NPI Information

NPI: 1770800575
Provider Name: PETERSON MEDICAL ASSOCIATES
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
575 HILL COUNTRY DR
STE 202
KERRVILLE, TX
ZIP 78028
Phone: (830) 258-6237
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PETERSON MEDICAL ASSOCIATES is an obstetrics gynecology in Kerrville, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PETERSON MEDICAL ASSOCIATES NPI is 1770800575. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

575 HILL COUNTRY DR
STE 202
KERRVILLE, TX
ZIP 78028-024
Phone: (830) 258-6237
Fax: (830) 315-1366

The provider's authorized official is Lisa Medovich .
The authorized official title is Cfo and has the following contact phone number (830) 258-7632.

The enumeration date for this NPI number is 5/3/2010 and was last updated on 3/11/2023.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	550119	TEXAS	No
2	207R00000X	Internal Medicine	550119	TEXAS	No
3	207V00000X	Obstetrics & Gynecology	550119	TEXAS	Yes

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

NPI Synchronization or Removal

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