Colleen Brezden
Individual provider Active NPI Pharmacist · Kerrville, TX
NPI 1255439147 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255439147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23490 (TX)
- Practice address
- 3600 Memorial Blvd
Kerrville, TX 78028-5768 - Phone
- (830) 792-2422
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23490 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23490 | TX | Yes |
Addresses
Primary practice location
3600 Memorial Blvd
Kerrville, TX 78028-5768
Mailing address
121 Tall Timber Rd
Kerrville, TX 78028-9219
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.