| 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 | This clinic does not participate in Medicare Program. |
| 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 |
| 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 |
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 | |
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 |