Individual
KERRI LEE TRUELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
176 FAIRWAY DR, KERRVILLE, TX 78028-6437
(830) 792-0805
(830) 792-0833
Mailing address
176 FAIRWAY DR, KERRVILLE, TX 78028-6437
(830) 792-0805
(830) 792-0833
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M0994
TX
207VG0400X
Gynecology Physician
Primary
M0994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173479002
—
TX
01
—
8BB240
BCBS OF TEXAS INDIVIDUAL #
TX
Enumeration date
04/10/2006
Last updated
03/07/2013
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