Unknown Individual – Vascular Surgery Physician, NPI 1760574354
Vascular Surgery Physician
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Provider Addresses for Unknown Individual
1331 BANDERA HWY STE 1
KERRVILLE, TX 780289535
Phone: (830) 997-7138
Fax: (830) 997-8678
Type: Location
130, West Windcrest Street, Fredericksburg, Gillespie County, Texas, 78624, United States
FREDERICKSBURG, TX 786244478
Phone: (830) 990-1404
Type: Mailing
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78028)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | TX | 93922 | Ultrasound study of arteries of both arms and legs | 61 | 56 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep Medicine | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine | TX | |
| N E U R O L O G Y | TX |
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