NPI | 1134512122 |
---|---|
Doing Business As | KERRVILLE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | VINCENT SCOCCIA Owner Provider 830-896-0404 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2015-03-14 |
Last Update Date | 2017-04-20 |