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Organization
JEROME D. KIZZART, M.D./REBECCA PREISS GEN PTR
Active
Organization
JEROME D. KIZZART, M.D./REBECCA PREISS GEN PTR
Active
Other names
Jerome D. Kizzart, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME D KIZZART M.D. (OWNER/PHYSICIAN)
(210) 323-5233
Entity
Organization
Contact information
Practice address
6511 US HIGHWAY 181 N, SUITE 1, FLORESVILLE, TX 78114-6281
(830) 393-2400
(830) 393-2488
Mailing address
6511 US HIGHWAY 181 N, SUITE 1, FLORESVILLE, TX 78114-6281
(830) 393-2400
(830) 393-2488
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H3823
TX
207R00000X
Internal Medicine Physician
Primary
H3823
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
H3823
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
H3823
TX
208M00000X
Hospitalist Physician
H3823
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020MB
BCBS
TX
01
—
004117860
AETNA TRS CARE
TX
01
—
0679188
AETNA
TX
05
—
138050310
—
TX
Enumeration date
06/09/2008
Last updated
09/03/2010
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