Fredericksburg Clinic, Pllc
LBN: Fredericksburg Clinic, Pllc
Fredericksburg Clinic, Pllc is an health care organization with primary practice located at 1308 South Highway 16 , Fredericksburg TX 78624-5058. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Fredericksburg Clinic, Pllc can be contacted via phone (830) 997-2181, or through Kothmann, John Radcliffe via phone (830) 997-2181.
Contact Information
Primary practice address
1308 South Highway 16
Fredericksburg TX 78624-5058
Phone: (830) 997-2181
Fax: (830) 997-9598
Website:
Authorized official contact:
Name: Kothmann, John Radcliffe Doctor of Medicine (MD)
Phone: (830) 997-2181
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Texas | |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Texas |
Profile Details
| NPI number | 1033145545 |
|---|---|
| LBN Legal business name | Fredericksburg Clinic, Pllc |
| DBA Doing business as | |
| Authorized official | Kothmann, John Radcliffe Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Nov 20th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033145545 | NPPES |
| Texas | MEDICAID | 084372401 | |
| Texas | MEDICAID | 082891502 |
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