| Innovacare Texas Physicians Group, Pllc | |
|
723 Hill Country Dr Ste C Kerrville TX 78028-6043 | |
| (830) 792-5800 | |
| (830) 896-2625 |
| Full Name | Innovacare Texas Physicians Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 723 Hill Country Dr Ste C, Kerrville, Texas |
| Authorized Official Name and Position | Joseph Will Abbott (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8337028383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovacare Texas Physicians Group, Pllc 1672 Independence Dr Ste 310 New Braunfels TX 78132-3982 Ph: (830) 730-5025 | Innovacare Texas Physicians Group, Pllc 723 Hill Country Dr Ste C Kerrville TX 78028-6043 Ph: (830) 792-5800 |
| NPI Number | 1871274019 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 06/25/2024 |
| Medicare PECOS PAC ID | 4587011168 |
|---|---|
| Medicare Enrollment ID | O20231104000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871274019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Odus M Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659397669 PECOS PAC ID: 4183610363 Enrollment ID: I20040913000910 |
| Provider Name | Ho Sung Sung Pak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518025766 PECOS PAC ID: 1759313794 Enrollment ID: I20050915000404 |
| Provider Name | Alicia Napper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883999 PECOS PAC ID: 6800106105 Enrollment ID: I20151116001800 |
| Provider Name | Douglas J Buchanan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043277486 PECOS PAC ID: 7810021243 Enrollment ID: I20170207000305 |
| Provider Name | Alexandra Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225515158 PECOS PAC ID: 3870958903 Enrollment ID: I20230425002029 |
Kerrville Mec, Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Hill Country Dr Ste C, Kerrville, TX 78028 Phone: 830-792-5800 Fax: 830-792-5848 | |
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Lisa Rouse, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Hill Country Dr Ste 106, Kerrville, TX 78028 Phone: 830-896-0404 Fax: 830-896-4343 | |
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