| Neurology Institute Of Kerrville Pllc | |
|
1001 Water Street Bldg J Suite 200 Kerrville TX 78028 | |
| (830) 896-8080 | |
| (830) 896-8080 |
| Full Name | Neurology Institute Of Kerrville Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1001 Water Street Bldg J, Kerrville, Texas |
| Authorized Official Name and Position | Suzanne K Gazda (OWNER/MD) |
| Authorized Official Contact | 8308968080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Institute Of Kerrville Pllc Po Box 293879 Kerrville TX 78029-3879 Ph: (830) 896-8080 | Neurology Institute Of Kerrville Pllc 1001 Water Street Bldg J Suite 200 Kerrville TX 78028 Ph: (830) 896-8080 |
| NPI Number | 1467107706 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Medicare PECOS PAC ID | 3678937687 |
|---|---|
| Medicare Enrollment ID | O20230908003613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467107706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Richard B Neiman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356302871 PECOS PAC ID: 2163320243 Enrollment ID: I20040519001324 |
| Provider Name | Suzanne Klaus Gazda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740286764 PECOS PAC ID: 5395782320 Enrollment ID: I20051101001006 |
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