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Organization
HALLMARK HOUSE CALLS, LLC
Active
Organization
HALLMARK HOUSE CALLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN G. BUMGARNER (AO)
(866) 456-7968
Entity
Organization
Contact information
Practice address
227 N LOOP 1604 E STE 150, SAN ANTONIO, TX 78232-1450
(210) 901-5861
(855) 847-0003
Mailing address
227 N LOOP 1604 E STE 150, SAN ANTONIO, TX 78232-1450
(210) 901-5861
(855) 847-0003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K4821
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
J6806
TX
2084P0805X
Geriatric Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3863060-01
—
TX
Enumeration date
06/15/2016
Last updated
10/13/2019
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