Phoenix Medical Associates
Psychiatry & Neurology, Addiction Medicine in Kerrville, TX. Organization (NPI-2).
NPI number1790736239
StatusActive
Last updated in NPPESSep 8, 2011
Details
- NPI
- 1790736239
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Medical Associates
- Organization subpart
- No
- Enumeration date
- May 12, 2006
- Last updated
- Sep 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | G1112 | TX | Yes |
Practice location
222 Sidney Baker SouthSuite 500
Kerrville, TX 78028-5900
Phone 830-895-7675 · Fax 830-896-3082
Mailing address
222 Sidney Baker SouthSuite 500
Kerrville, TX 78028-5900
Phone 830-895-7675 · Fax 830-896-3082
Authorized official
Anand W. Mehendale
President
8308957675
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