| Bruce G. Kinzy, M.d., P.a. | |
|
30975 Elise Ann Bulverde TX 78163-4139 | |
| (830) 980-4660 | |
| (830) 438-7646 |
| Full Name | Bruce G. Kinzy, M.d., P.a. |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 30975 Elise Ann, Bulverde, Texas |
| Authorized Official Name and Position | Bruce G Kinzy (PRESIDENT) |
| Authorized Official Contact | 8309804660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce G. Kinzy, M.d., P.a. 30975 Elise Ann Bulverde TX 78163-4139 Ph: (830) 980-4660 | Bruce G. Kinzy, M.d., P.a. 30975 Elise Ann Bulverde TX 78163-4139 Ph: (830) 980-4660 |
| NPI Number | 1144222191 |
|---|---|
| Provider Enumeration Date | 06/02/2005 |
| Last Update Date | 09/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144222191 | NPI | - | NPPES |
| 178860601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D8745 (Texas) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | D8745 (Texas) | Primary |
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Valorie Robertson, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2795 Bulverde Rd, Bulverde, TX 78163 Phone: 830-980-2435 Fax: 830-980-4915 |