Jefferson Family Practice

LBN: Jefferson Family Practice
Jefferson Family Practice is an health care organization with primary practice located at 9647 Huebner Rd , San Antonio TX 78240-1512. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Jefferson Family Practice can be contacted via phone (210) 735-5225, or through Heller, Kimberly K via phone (210) 735-1199.

Contact Information

Primary practice address
9647 Huebner Rd San Antonio TX 78240-1512
Phone: (210) 735-5225
Fax: (210) 735-3207
Website:
Map and Directions
Authorized official contact:
Name: Heller, Kimberly K Doctor of Medicine (MD)
Phone: (210) 735-1199

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1417991035
LBN Legal business name Jefferson Family Practice
DBA Doing business as
Authorized official Heller, Kimberly K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 27th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417991035 NPPES
Texas MEDICAID 083854201

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