Organization
KERRVILLE EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA CRAVEY (BUSINESS MANAGER)
(830) 257-4417
Entity
Organization
Contact information
Practice address
1001 WATER ST, STE E100, KERRVILLE, TX 78028-3523
(830) 257-4417
(830) 257-1480
Mailing address
PO BOX 294869, KERRVILLE, TX 78029-4869
(830) 257-4417
(830) 257-1480
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J6394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010GH
BCBS GROUP #
TX
05
—
143576001
—
TX
Enumeration date
12/21/2006
Last updated
03/18/2011
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