Genesis Gynecology Pa
LBN: Genesis Gynecology Pa
Genesis Gynecology Pa is an health care organization with primary practice located at 176 Fairway Dr , Kerrville TX 78028-6437. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty.
Genesis Gynecology Pa can be contacted via phone (830) 792-0805, or through Truelock, Kerri Lee via phone (830) 792-0805.
Contact Information
Primary practice address
176 Fairway Dr
Kerrville TX 78028-6437
Phone: (830) 792-0805
Fax: (830) 792-0833
Website:
Authorized official contact:
Name: Truelock, Kerri Lee Doctor of Medicine (MD)
Phone: (830) 792-0805
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Texas | |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X |
Profile Details
| NPI number | 1174792733 |
|---|---|
| LBN Legal business name | Genesis Gynecology Pa |
| DBA Doing business as | |
| Authorized official | Truelock, Kerri Lee Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2008 |
| Last updated | Mar 13th, 2013 - about 11 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 | 1174792733 | NPPES |
| Texas | Other | 0083RB | BCBS OF TEXAS GROUP # |
| Texas | MEDICAID | 193308701 | BCBS OF TEXAS GROUP # |
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