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Organization

RIVERHILL OPHTHALMOLOGY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY ALVAREZ CHEDZOY M.D. (CONSULTANT)
(830) 792-5059
Entity
Organization

Contact information

Practice address
601 CLAY ST, KERRVILLE, TX 78028-4527
(830) 792-5059
(830) 792-5062
Mailing address
317 SIDNEY BAKER ST S, STE 400 PMB 112, KERRVILLE, TX 78028-5948
(830) 792-5059
(830) 792-5062

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L6258
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0057NE
BCBS OF TEXAS
TX
01
00W118
MEDICARE ID-TYPE UNSPECIF
TX
Enumeration date
03/22/2006
Last updated
09/19/2007
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