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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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