Organization
MJF REHABILITATION PA
Active
Other names
Professional Association
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRELLE JEANNE FOSTER MD (MEMBER)
(830) 315-2106
Entity
Organization
Contact information
Practice address
551 HILL COUNTRY DR, KERRVILLE, TX 78028-6085
(830) 315-2106
(830) 315-2108
Mailing address
PO BOX 290142, KERRVILLE, TX 78029-0142
(830) 315-2106
(830) 315-2108
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L3966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008PZ
BLUE CROSS BLUE SHIELD
TX
05
—
152698001
—
TX
Enumeration date
04/11/2006
Last updated
09/18/2019
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