Organization Active NPI

Kerr County Sub-Specialists, PA

  • Neurology Physician
  • Kerrville, TX
National Provider Identifier
1366691867
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J8714 Issued in TX
Legal business name
KERR COUNTY SUB-SPECIALISTS, PA
Practice address
306 Wesley Dr Ste B
Kerrville, TX 78028-5822
Phone
(830) 896-2900
Fax
(830) 896-8905
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Theresa Phillips, MD
Title
Employee
Phone
(830) 896-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J8714 TX Primary

Addresses

Primary practice location

306 Wesley Dr Ste B
Kerrville, TX 78028-5822

Mailing address

PO Box 293279
Kerrville, TX 78029-3279
Phone (830) 896-2900

National Provider Directory

National Provider Directory

Locations

306 Wesley Dr
#B
Kerrville, TX 78028
Phone (830) 258-6400

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1366691867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293279",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780293279",
            "telephone_number": "830-896-2900",
            "fax_number": "830-896-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WESLEY DR STE B",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285822",
            "telephone_number": "830-896-2900",
            "fax_number": "830-896-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERR COUNTY SUB-SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "830-896-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J8714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.