KERRVILLE MEDICAL SERVICES, PA (NPI# 1366626517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366626517 |
| Entity Type | Organization |
| Organization Name | KERRVILLE MEDICAL SERVICES, PA |
| Practice Address |
145 La Hacienda Way La Hacienda Treatment Center Hunt TX 78024 |
| Mailing Address |
1365 Saddlewood Blvd Kerrville TX 78028-7231 |
| Practice Telephone | 8302386123 |
| Mailing Telephone | 8302386123 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |
| Authorized Official Name | GEORGE DANIEL BOONE (PRESIDENT, KERRVILLE MEDICAL SERVIC) |
| Authorized Official Telephone | 8302386123 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
F6460 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
145 LA HACIENDA WAY LA HACIENDA TREATMENT CENTER |
| City | HUNT |
| State | TX |
| Zip Code | 78024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043396211 | James Carroll Boone | Internal Medicine | 145 La Hacienda Way, Hunt, TX 78024 | 2006-10-31 |
| 1588141782 | Jessica Edwards | Family Medicine | 145 La Hacienda Way, Hunt, TX 78024-3060 | 2018-07-20 |
| 1558518373 | David Christopher Hager | Psychiatry & Neurology | 145 La Hacienda Way, Hunt, TX 78024 | 2008-08-22 |
| 1912048398 | Esperanza Health Systems, Ltd | Substance Abuse Rehabilitation Facility | 145 La Hacienda Way, Hunt, TX 78024 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039636 | Dawn Michele Ramirez | Social Worker | 111 Cherokee Trail, Hunt, TX 78024 | 2018-07-10 |
| 1871843177 | Randolph Clark Zuber | Urology | 115 Indian Trail, Hunt, TX 78024 | 2012-09-13 |
| 1033121900 | George Daniel Boone | Internal Medicine | Lahacienda Treatment Center, Hunt, TX 78024 | 2006-08-12 |
| 1821116369 | John Douglas Leitch Jr. | Dentist | 380 Fallow Run, Hunt, TX 78024-0380 | 2007-03-26 |
| 1124577085 | Shar Mckelvie | Counselor | 640 Fallow Run, Hunt, TX 78024-3021 | 2016-10-03 |
| 1578697579 | Larry Grappe | Counselor | 125 Turkey Trot Trl, Sw, Hunt, TX 78024-3052 | 2007-03-14 |
| 1356615496 | Edwin Warner Ahlgren | Anesthesiology | 135 Marymeade Dr, Hunt, TX 78024-3425 | 2012-03-07 |
| 1952856510 | Amy Ann Chapman | Dietitian, Registered | 134 Hunter Ln, Hunt, TX 78024-3459 | 2016-08-23 |
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487192522 | Cleanslate Medical Group of Texas Pllc | Internal Medicine | 2912 Kraft St Ste 30, Arlington, TX 76010-5410 | 2017-02-09 |
| 1427508027 | Bela Roth | Internal Medicine | 2427 Thorndon Park Ct, League City, TX 77573-5563 | 2016-10-06 |
| 1639450182 | Jeremias M. Abueme,md,pa | Internal Medicine | 5282 Medical Dr Ste 130, San Antonio, TX 78229-6023 | 2011-08-29 |
| 1538165162 | Migdalia Molina | Internal Medicine | 730 N Main, Ste 515, San Antonio, TX 78205-1116 | 2005-06-28 |
| 1588173967 | Woodlands Addiction Medicine Group | Internal Medicine | 2610 Technology Forest Blvd, The Woodlands, TX 77381-3904 | 2017-09-28 |
| 1013456375 | Hs Physician Services of Texas PC | Internal Medicine | 3800 County Road 444, Princeton, TX 75407-4432 | 2017-02-20 |
| 1457712291 | Talvah LLC | Internal Medicine | 8201 Ohio Dr, 112, Plano, TX 75024-2357 | 2016-03-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.