# KERRVILLE MEDICAL SERVICES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366626517
- **Authorized official:** GEORGE DANIEL BOONE MD (PRESIDENT, KERRVILLE MEDICAL SERVIC)
- **Authorized official phone:** (830) 238-6123

## Contact information

- **Practice address:** 145 LA HACIENDA WAY, LA HACIENDA TREATMENT CENTER, HUNT, TX 78024
- **Practice address phone:** (830) 238-6123
- **Mailing address:** 1365 SADDLEWOOD BLVD, KERRVILLE, TX 78028-7231
- **Mailing address phone:** (830) 238-6123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | F6460 | TX | Yes |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 12/24/2007