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Organization
KELLCY MEDICAL GROUP, P.A.
Active
Organization
KELLCY MEDICAL GROUP, P.A.
Active
Other names
DeHoyos Medical Group, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA BRANDENBURG (BILLING ADMIN)
(830) 627-9208
Entity
Organization
Contact information
Practice address
204 CAMP WILLOW RD, NEW BRAUNFELS, TX 78130-1805
(830) 627-9208
(830) 625-0353
Mailing address
206 CAMP WILLOW RD, NEW BRAUNFELS, TX 78130-1805
(830) 620-7744
(830) 625-0353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K5088
TX
208000000X
Pediatrics Physician
K5088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143316101
—
TX
Enumeration date
04/25/2007
Last updated
07/30/2024
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