Organization
MEDICAL FITNESS CLINIC OF KERRVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON KEITH BLACK PH.D, CEP (MANAGER/OWNER)
(210) 569-4129
Entity
Organization
Contact information
Practice address
1337 BANDERA HWY, KERRVILLE, TX 78028-9555
(210) 569-4129
Mailing address
1007 RIVER TRAIL RD, PIPE CREEK, TX 78063-5979
(210) 569-4129
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/10/2021
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