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Organization

KERR COUNTY SUB-SPECIALISTS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA PHILLIPS MD (EMPLOYEE)
(830) 896-2900
Entity
Organization

Contact information

Practice address
306 WESLEY DR STE B, KERRVILLE, TX 78028-5822
(830) 896-2900
(830) 896-8905
Mailing address
PO BOX 293279, KERRVILLE, TX 78029-3279
(830) 896-2900
(830) 896-8905

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J8714
TX

Other

Enumeration date
09/09/2008
Last updated
09/09/2008
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