Organization
BRUCE G. KINZY, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE G KINZY M.D. (PRESIDENT)
(830) 980-4660
Entity
Organization
Contact information
Practice address
30975 ELISE ANN, BULVERDE, TX 78163-4139
(830) 980-4660
(830) 438-7646
Mailing address
30975 ELISE ANN, BULVERDE, TX 78163-4139
(830) 980-4660
(830) 438-7646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D8745
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D8745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178860601
—
TX
Enumeration date
06/02/2005
Last updated
09/24/2010
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