International Family Clinic
LBN: Kerrville Med Express
International Family Clinic is an health care organization with primary practice located at 2217 Padre Blvd , South Padre Island TX 78597. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Kerrville Med Express can be contacted via phone (956) 761-4649, or through Debenedetto, Richard Bruce via phone (956) 761-4649.
Contact Information
Primary practice address
2217 Padre Blvd
South Padre Island TX 78597
Phone: (956) 761-4649
Fax: (866) 594-1025
Website:
Authorized official contact:
Name: Debenedetto, Richard Bruce Doctor of Medicine (MD)
Phone: (956) 761-4649
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | J9579 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J9579 | Texas |
Profile Details
| NPI number | 1639405855 |
|---|---|
| LBN Legal business name | Kerrville Med Express |
| DBA Doing business as | International Family Clinic |
| Authorized official | Debenedetto, Richard Bruce Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 22nd, 2009 |
| Last updated | Dec 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 | 1639405855 | NPPES |
| Texas | Other | 8CE910 | BCBSTX |
| Texas | MEDICAID | 113326621 | BCBSTX |
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