Organization
C KELLY FAMILY CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN KELLY (SECRETARY)
(830) 214-6411
Entity
Organization
Contact information
Practice address
794 GENERATIONS DR., STE. 100, NEW BRAUNFELS, TX 78130-2460
(830) 214-6411
(830) 626-8800
Mailing address
794 GENERATIONS DR., STE. 100, NEW BRAUNFELS, TX 78130
(830) 214-6411
(830) 626-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N5766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2151524-01
—
TX
05
—
215152402
—
TX
Enumeration date
05/09/2010
Last updated
11/19/2018
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