Kellum Medical Group, Pa
LBN: Kellum Medical Group, Pa
Kellum Medical Group, Pa is an health care organization with primary practice located at 7323 Marbach Rd Ste 104 , San Antonio TX 78227-1905. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Kellum Medical Group, Pa can be contacted via phone (210) 674-0257, or through Hernandez, Eva L via phone (210) 231-2540.
Contact Information
Primary practice address
7323 Marbach Rd Ste 104
San Antonio TX 78227-1905
Phone: (210) 674-0257
Fax: (210) 369-9064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X |
Profile Details
| NPI number | 1508813494 |
|---|---|
| LBN Legal business name | Kellum Medical Group, Pa |
| DBA Doing business as | |
| Authorized official | Hernandez, Eva L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Feb 8th, 2024 - about 10 months 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 | 1508813494 | NPPES |
| Texas | Other | 1174518625 | DANIEL H KELLUM SR., DO - NPI |
| Texas | Other | 1508813494 | DANIEL H KELLUM SR., DO - NPI |
| Texas | Other | 1588641377 | DANIEL H KELLUM SR., DO - NPI |
| Texas | Other | 1063070308 | DANIEL H KELLUM SR., DO - NPI |
| Texas | Other | 1265413264 | DANIEL H KELLUM SR., DO - NPI |
| Texas | Other | 1346646510 | DANIEL H KELLUM SR., DO - NPI |
| Texas | Other | 0925166-02 | DANIEL H KELLUM SR., DO - NPI |
| Texas | Other | 1134467483 | DANIEL H KELLUM SR., DO - NPI |
| Texas | Other | 0925166-01 | DANIEL H KELLUM SR., DO - NPI |
| Texas | Other | 1396908950 | DANIEL H KELLUM SR., DO - NPI |
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