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Organization

KERRVILLE AMBULATORY SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDA CRAVEY (ADMINISTRATOR)
(830) 257-4417
Entity
Organization

Contact information

Practice address
1001 WATER ST, UNIT C, KERRVILLE, TX 78028-3523
(830) 896-2444
(830) 896-2447
Mailing address
PO BOX 294868, KERRVILLE, TX 78029-4868
(830) 896-2444
(830) 896-2447

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008616
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197547601
TX
01
H0HH171A01
BCBS
TX
Enumeration date
06/19/2007
Last updated
02/06/2014
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