| NPI | 1588671481 |
|---|---|
| Doing Business As | KERRVILLE STATE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JANA JOHNSON Accountant Iii 512-206-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 183500000X Pharmacist |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0805X | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2017-08-25 |