Unknown Individual – Family Medicine Physician, NPI 1700028040
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
906 REBEL ROAD
KYLE, TX 78640
Phone: (512) 295-9300
Fax: (512) 295-7300
Type: Mailing
155, Cimarron Park Loop, Buda, Texas, 78610, United States
SUITE A
BUDA, TX 786102847
Phone: (512) 295-9300
Fax: (512) 295-7300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78640)
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