Organization
KERRVILLE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE LEA WHIITNG (PRACTICE MANAGER)
(830) 257-1440
Entity
Organization
Contact information
Practice address
1331 BANDERA HWY, SUITE 10, KERRVILLE, TX 78028-9535
(830) 257-1440
(830) 257-2542
Mailing address
1331 BANDERA HWY, SUITE 10, KERRVILLE, TX 78028-9535
(830) 257-1440
(830) 257-2542
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
230898
TX
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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