NPIMap

Organization Active NPI

Kerrville Medical Services, PA

  • Addiction Medicine (Internal Medicine) Physician
  • Hunt, TX
National Provider Identifier
1366626517
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
F6460 Issued in TX
Legal business name
KERRVILLE MEDICAL SERVICES, PA
Practice address
145 La Hacienda Way
La Hacienda Treatment Center
Hunt, TX 78024
Phone
(830) 238-6123
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Daniel Boone, MDNPI 1033121900
Title
President, Kerrville Medical Servic
Phone
(830) 238-6123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X F6460 TX Primary

Addresses

Primary practice location

145 La Hacienda Way
La Hacienda Treatment Center
Hunt, TX 78024

Mailing address

1365 Saddlewood Blvd
Kerrville, TX 78028-7231
Phone (830) 238-6123

National Provider Directory

National Provider Directory

Locations

184 Fullbrook Ln
Fredericksburg, TX 78624
Phone (806) 669-7976

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1366626517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 SADDLEWOOD BLVD",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780287231",
            "telephone_number": "830-238-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LA HACIENDA WAY",
            "address_2": "LA HACIENDA TREATMENT CENTER",
            "city": "HUNT",
            "state": "TX",
            "postal_code": "78024",
            "telephone_number": "830-238-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRVILLE MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT, KERRVILLE MEDICAL SERVIC",
        "authorized_official_telephone_number": "830-238-6123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TX",
            "license": "F6460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.