| David R. Miloy Md Pa | |
|
1411 Water St Kerrville TX 78028 | |
| (830) 895-5599 | |
| (830) 895-8686 |
| Full Name | David R. Miloy Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1411 Water St, Kerrville, Texas |
| Authorized Official Name and Position | David R. Miloy (OWNER) |
| Authorized Official Contact | 8308955599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David R. Miloy Md Pa 1411 Water St Kerrville TX 78028 Ph: (830) 895-5599 | David R. Miloy Md Pa 1411 Water St Kerrville TX 78028 Ph: (830) 895-5599 |
| NPI Number | 1578508636 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 06/30/2014 |
| Medicare PECOS PAC ID | 4880608017 |
|---|---|
| Medicare Enrollment ID | O20060126000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578508636 | NPI | - | NPPES |
| 157371901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L3893 (Texas) | Primary |
| Provider Name | David R Miloy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912935990 PECOS PAC ID: 7315951548 Enrollment ID: I20060126000973 |
| Provider Name | Lena L Rippstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871521773 PECOS PAC ID: 2769497882 Enrollment ID: I20060210000437 |
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