Pedernales Medical Group Llp
LBN: Pedernales Medical Group Llp
Pedernales Medical Group Llp is an health care organization with primary practice located at 205 W Windcrest St Suite 310, Fredericksburg TX 78624-4479. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Pedernales Medical Group Llp can be contacted via phone (830) 997-2191, or through Thompson, Daniel R via phone (830) 997-2191.
Contact Information
Primary practice address
205 W Windcrest St Suite 310
Fredericksburg TX 78624-4479
Phone: (830) 997-2191
Fax: (830) 997-8202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1124076674 |
|---|---|
| LBN Legal business name | Pedernales Medical Group Llp |
| DBA Doing business as | |
| Authorized official | Thompson, Daniel R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 7th, 2015 - about 9 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 | 1124076674 | NPPES |
| Texas | MEDICAID | 080710903 |
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