C Kelly Family Clinic, Pa

LBN: C Kelly Family Clinic, Pa
C Kelly Family Clinic, Pa is an health care organization with primary practice located at 794 Generations Dr., Ste. 100 , New Braunfels TX 78130-2460. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. C Kelly Family Clinic, Pa can be contacted via phone (830) 214-6411, or through Kelly, Austin via phone (830) 214-6411.

Contact Information

Primary practice address
794 Generations Dr., Ste. 100 New Braunfels TX 78130-2460
Phone: (830) 214-6411
Fax: (830) 626-8800
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Austin
Phone: (830) 214-6411

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N5766 Texas

Profile Details

NPI number 1093033573
LBN Legal business name C Kelly Family Clinic, Pa
DBA Doing business as
Authorized official Kelly, Austin
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2010
Last updated Nov 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093033573 NPPES
Texas MEDICAID 2151524-01
Texas MEDICAID 215152402

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