Multi-Specialty Diagnostic Center Rebecca a Preiss Gen PTR

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H3823 Issued in TX

Legal business name

MULTI-SPECIALTY DIAGNOSTIC CENTER REBECCA A PREISS GEN PTR

Doing business as

Multi-Specialty Diagnostic Center

Practice address

6511 US Highway 181 N
Suite 1
Floresville, TX 78114-6281

Phone

(830) 815-1202

Fax

(830) 815-1205

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jerome D Kizzart, MD

Title

Owner Physician

Phone

(830) 815-1202

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Multi-Specialty Diagnostic Center Doing business as

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1760631832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 US HIGHWAY 181 N",
            "address_2": "SUITE 1",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781146281",
            "telephone_number": "830-815-1202",
            "fax_number": "830-815-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 US HIGHWAY 181 N",
            "address_2": "SUITE 1",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781146281",
            "telephone_number": "830-815-1202",
            "fax_number": "830-815-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-SPECIALTY DIAGNOSTIC CENTER REBECCA A PREISS GEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "KIZZART",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "830-815-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H3823",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H3823",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "M6603",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "M6603",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "M6603",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "H3823",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "H3823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95RT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multi-Specialty Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preston N. Morehead, M.D.
• Melanie Darlyne Morgan
• Morning Star Family Medicine PLLC
• Ana Luissa Motta, MD
• MSC Health Texas LLC (Carmen Floresville)
• Sophia Yasmeen Munoz
• Devraj U Nayak, M.D.
• New Directions Counseling Services, LLC
• Nursing Home Dentistry, PLLC (Nursing Home Dentistry)
• O'Keeffe Health Care, LLC

• Internal Medicine Physician in Floresville, TX
• Providers in Floresville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.