Organization
JEFFERSON FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY K HELLER M.D. (PRESIDENT)
(210) 735-1199
Entity
Organization
Contact information
Practice address
9647 HUEBNER RD, SAN ANTONIO, TX 78240-1512
(210) 735-5225
(210) 735-3207
Mailing address
9647 HUEBNER RD, SAN ANTONIO, TX 78240-1512
(210) 735-5225
(210) 735-3207
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083854201
—
TX
Enumeration date
06/15/2006
Last updated
03/27/2015
Update your record
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