Organization Active NPI

Jeanette L Masek MD PLLC

  • Internal Medicine Physician
  • Kerrville, TX
National Provider Identifier
1902233869
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F9784 Issued in TX
Legal business name
JEANETTE L MASEK MD PLLC
Practice address
420 Water St Ste 104
Kerrville, TX 78028-5200
Phone
(830) 257-4124
Fax
(830) 257-0041
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Jeanette Louise Masek, MD
Title
Owner
Phone
(830) 257-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X F9784 TX Primary

Addresses

Primary practice location

420 Water St Ste 104
Kerrville, TX 78028-5200

Mailing address

420 Water St Ste 104
Kerrville, TX 78028-5200
Phone (830) 257-4124

National Provider Directory

National Provider Directory

Locations

420 Water St
Ste 104
Kerrville, TX 78028
Phone (830) 257-4124

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1902233869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WATER ST STE 104",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285200",
            "telephone_number": "830-257-4124",
            "fax_number": "830-257-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WATER ST STE 104",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285200",
            "telephone_number": "830-257-4124",
            "fax_number": "830-257-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE L MASEK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "MASEK",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-257-4124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F9784",
            "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 Apr 18, 2014; 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.