| Phoenix Medical Associates | |
|
222 Sidney Baker South Suite 500 Kerrville TX 78028-5900 | |
| (830) 895-7675 | |
| (830) 896-3082 |
| Full Name | Phoenix Medical Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 222 Sidney Baker South, Kerrville, Texas |
| Authorized Official Name and Position | Anand W. Mehendale (PRESIDENT) |
| Authorized Official Contact | 8308957675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Medical Associates 222 Sidney Baker South Suite 500 Kerrville TX 78028-5900 Ph: (830) 895-7675 | Phoenix Medical Associates 222 Sidney Baker South Suite 500 Kerrville TX 78028-5900 Ph: (830) 895-7675 |
| NPI Number | 1790736239 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 09/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790736239 | NPI | - | NPPES |
| 080790101 | Medicaid | TX | |
| CJ3940 | Other | TX | RAILROAD MEDICARE |
| 00564K | Other | TX | MEDICARE PTAN |
| 0093CZ | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | G1112 (Texas) | Primary |
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