| Family Practice Associates, P.a. | |
|
220 Wesley Dr Kerrville TX 78028-5809 | |
| (830) 896-4711 | |
| (830) 257-0878 |
| Full Name | Family Practice Associates, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Wesley Dr, Kerrville, Texas |
| Authorized Official Name and Position | David R Sprouse (PRESIDENT) |
| Authorized Official Contact | 8308964711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates, P.a. 220 Wesley Dr Kerrville TX 78028-5809 Ph: (830) 896-4711 | Family Practice Associates, P.a. 220 Wesley Dr Kerrville TX 78028-5809 Ph: (830) 896-4711 |
| NPI Number | 1972520302 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 10/20/2023 |
| Medicare PECOS PAC ID | 6103818596 |
|---|---|
| Medicare Enrollment ID | O20040402001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972520302 | NPI | - | NPPES |
| 111564401 | Medicaid | TX | |
| 085484601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karsten G Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396852240 PECOS PAC ID: 8426040817 Enrollment ID: I20040402001302 |
| Provider Name | David R Sprouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487761326 PECOS PAC ID: 7810989209 Enrollment ID: I20041104000911 |
| Provider Name | John Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639286560 PECOS PAC ID: 8527107473 Enrollment ID: I20100727000090 |
| Provider Name | Lisa Hoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992806368 PECOS PAC ID: 1557344942 Enrollment ID: I20141020001623 |
| Provider Name | Theresa L Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750619458 PECOS PAC ID: 5698100915 Enrollment ID: I20200115000736 |
| Provider Name | Jennifer Emalynne Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710577788 PECOS PAC ID: 8628483294 Enrollment ID: I20210211001402 |
| Provider Name | Harley G Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902472418 PECOS PAC ID: 2062806102 Enrollment ID: I20220307000398 |
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