Phoenix Medical Associates

LBN: Phoenix Medical Associates
Phoenix Medical Associates is an health care organization with primary practice located at 222 Sidney Baker South Suite 500, Kerrville TX 78028-5900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Phoenix Medical Associates can be contacted via phone (830) 895-7675, or through Mehendale, Anand W. via phone (830) 895-7675.

Contact Information

Primary practice address
222 Sidney Baker South Suite 500 Kerrville TX 78028-5900
Fax: (830) 896-3082
Website:
Authorized official contact:
Name: Mehendale, Anand W. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X G1112 Texas

Profile Details

NPI number 1790736239
LBN Legal business name Phoenix Medical Associates
DBA Doing business as
Authorized official Mehendale, Anand W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Sep 8th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790736239 NPPES
Texas MEDICAID 080790101
Texas Other CJ3940
Texas Other 00564K
Texas Other 0093CZ

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