| Bulverde Family Medicine Pa | |
|
805 Kelly Creek Rd Bulverde TX 78163-3035 | |
| (830) 980-1805 | |
| (830) 438-5662 |
| Full Name | Bulverde Family Medicine Pa |
|---|---|
| Speciality | Hospitalist |
| Location | 805 Kelly Creek Rd, Bulverde, Texas |
| Authorized Official Name and Position | Jeff D Ethridge (PHYSICIAN OWNER) |
| Authorized Official Contact | 8309801805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bulverde Family Medicine Pa 805 Kelly Creek Rd Bulverde TX 78163-3035 Ph: (830) 980-1805 | Bulverde Family Medicine Pa 805 Kelly Creek Rd Bulverde TX 78163-3035 Ph: (830) 980-1805 |
| NPI Number | 1265801492 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 06/08/2021 |
| Medicare PECOS PAC ID | 2567764442 |
|---|---|
| Medicare Enrollment ID | O20160108001951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265801492 | NPI | - | NPPES |
| 386676601 | Medicaid | TX | |
| L6877 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L6877 (Texas) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Jeff Dwayne Ethridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154318095 PECOS PAC ID: 2961486485 Enrollment ID: I20040614001156 |
| Provider Name | Sarah J Heltzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487190088 PECOS PAC ID: 1951675560 Enrollment ID: I20170920003206 |
| Provider Name | Rabecca J Teich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508331117 PECOS PAC ID: 4385988963 Enrollment ID: I20181208000368 |
| Provider Name | Renee Patlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982241725 PECOS PAC ID: 1850720491 Enrollment ID: I20200402003810 |
| Provider Name | Roberto Rios Valle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710528567 PECOS PAC ID: 3375973480 Enrollment ID: I20200413002598 |
| Provider Name | Angela Renee Aston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033710488 PECOS PAC ID: 3678504081 Enrollment ID: I20210225000179 |
Healthfirst Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 524 Singing Oaks, Suite 120, Bulverde, TX 78070 Phone: 830-252-5155 Fax: 830-252-5175 | |
Bruce G. Kinzy, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30975 Elise Ann, Bulverde, TX 78163 Phone: 830-980-4660 Fax: 830-438-7646 | |
Uplifting Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30130 Bulverde Ln, Bulverde, TX 78163 Phone: 210-639-3285 | |
Tejas Visiting Physicians, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2795 Bulverde Rd Ste A, Bulverde, TX 78163 Phone: 210-365-7987 | |
Carlos R Villalta, Md Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32685 Us Highway 281 N Ste 120, Bulverde, TX 78163 Phone: 210-742-7300 Fax: 210-742-7301 | |
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 |