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Organization

KENDRA L. THORN, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENDRA LYNN THORN M.D. (PHYSICIAN)
(830) 632-6857
Entity
Organization

Contact information

Practice address
598 N UNION AVE, SUITE 320, NEW BRAUNFELS, TX 78130-4136
(830) 632-6857
(830) 632-9122
Mailing address
598 N UNION AVE, SUITE 320, NEW BRAUNFELS, TX 78130-4136
(830) 632-6857
(830) 632-9122

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L7221
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0097PW
BCBS
TX
01
1039925
BPIN
TX
05
168441701
TX
Enumeration date
08/13/2006
Last updated
06/20/2009
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