Mark Fitzgerald, MD
Family Medicine in Kerrville, TX. Organization (NPI-2).
NPI number1497939136
StatusActive
Last updated in NPPESDec 17, 2007
Details
- NPI
- 1497939136
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark Fitzgerald, MD
- Organization subpart
- No
- Enumeration date
- Dec 17, 2007
- Last updated
- Dec 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | K0467 | TX | Yes |
Practice location
401 Junction HwyKerrville, TX 78028-4202
Phone 830-896-9792 · Fax 830-896-9751
Mailing address
123 Cibolo Creek DrBoerne, TX 78006-3216
Phone 830-896-9792 · Fax 830-896-9751
Authorized official
Mark Fitzgerald
Owner/Provider
8308969792
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