Organization
GERALD A PRICE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD A PRICE MD (OWNER)
(830) 792-3283
Entity
Organization
Contact information
Practice address
306 A WESLEY DRIVE, KERRVILLE, TX 78028
(830) 792-3283
(830) 792-3288
Mailing address
PO BOX 291790, KERRVILLE, TX 78029-1790
(830) 792-3283
(830) 792-3288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J8724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00912W
BCBS
TX
05
—
164205001
—
TX
05
—
164205002
—
TX
05
—
164205003
—
TX
05
—
164205004
—
TX
01
—
171211901
MEDICAID GRP #
TX
01
—
1770546178
NPI INDIVIDUAL #
TX
Enumeration date
04/05/2006
Last updated
07/01/2008
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