# FAMILY PRACTICE ASSOCIATES OF KERRVILLE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY PRACTICE ASSOCIATES PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831630565
- **Legal business name:** FAMILY PRACTICE ASSOCIATES PA
- **Authorized official:** DAVID R SPROUSE MD (PROVIDER/ OWNER)
- **Authorized official phone:** (830) 896-4711

## Contact information

- **Practice address:** 220 WESLEY DR, KERRVILLE, TX 78028-5809
- **Practice address phone:** (830) 896-4711
- **Practice address fax:** (830) 257-0878
- **Mailing address:** 220 WESLEY DR, KERRVILLE, TX 78028-5809
- **Mailing address phone:** (830) 896-4711
- **Mailing address fax:** (830) 257-0878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H2802 | TX | Yes |

## Other

- **Enumeration date:** 03/14/2017
- **Last updated:** 03/21/2017