Phoenix Medical Associates
LBN: Phoenix Medical Associates
Phoenix Medical Associates is an health care organization with primary practice located at 222 Sidney Baker South Suite 500, Kerrville TX 78028-5900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty.
Phoenix Medical Associates can be contacted via phone (830) 895-7675, or through Mehendale, Anand W. via phone (830) 895-7675.
Contact Information
Primary practice address
222 Sidney Baker South Suite 500
Kerrville TX 78028-5900
Phone: (830) 895-7675
Fax: (830) 896-3082
Website:
Authorized official contact:
Name: Mehendale, Anand W. Doctor of Medicine (MD)
Phone: (830) 895-7675
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | G1112 | Texas |
Profile Details
| NPI number | 1790736239 |
|---|---|
| LBN Legal business name | Phoenix Medical Associates |
| DBA Doing business as | |
| Authorized official | Mehendale, Anand W. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Sep 8th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790736239 | NPPES |
| Texas | MEDICAID | 080790101 | |
| Texas | Other | CJ3940 | |
| Texas | Other | 00564K | |
| Texas | Other | 0093CZ |
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