Active NPI
Kerr County Sub-Specialists, PA
- Neurology Physician
- Kerrville, TX
National Provider Identifier
1366691867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- J8714
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Rachel Hohle Keithley, M.S. CCC-SLP
- Yvette Kemmer
- Sydnee Danielle Kern, APRN-FNP-C
- Kerr County Chiropractic
- Kerr County OB/GYN Associates, P.a. (OB/GYN Associates, P.A.)
- Kerrville Allergy and Asthma Associates, P.a.
- Kerrville Ambulatory Surgery Center, LLC
- Kerrville Cancer Center LTD
- Kerrville Cancer Center PLLC
- Kerrville Cardiovascular Center
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.