Individual
DR. GREGORY GENE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 HILL COUNTRY DR, KERRVILLE, TX 78028-6085
(830) 377-5359
(830) 896-7020
Mailing address
551 HILL COUNTRY DR, KERRVILLE, TX 78028-6085
(830) 377-5359
(830) 896-7020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F3235
TX
208M00000X
Hospitalist Physician
Primary
F3235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0999914-04
—
TX
05
—
099991402
—
TX
01
—
110002127
RR MEDICARE
TX
Enumeration date
02/02/2006
Last updated
09/23/2009
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