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Organization
PEDERNALES MEDICAL GROUP LLP
Active
Organization
PEDERNALES MEDICAL GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R THOMPSON (OFFICE MANAGER)
(830) 997-2191
Entity
Organization
Contact information
Practice address
205 W WINDCREST ST, SUITE 310, FREDERICKSBURG, TX 78624-4479
(830) 997-2191
(830) 997-8202
Mailing address
205 W WINDCREST ST, SUITE 310, FREDERICKSBURG, TX 78624-4479
(830) 997-2191
(830) 997-8202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080710903
—
TX
Enumeration date
05/05/2006
Last updated
04/07/2015
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