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Kellum Medical Group, Pa
Pediatric Nurse Practitioner in San Antonio, Texas
NPI 1508813494

Kellum Medical Group, Pa is a Pediatric Nurse Practitioner based in San Antonio, TX and is specialized in Pediatrics. Kellum Medical Group, Pa practices in San Antonio, TX. The NPI Number for Kellum Medical Group, Pa is 1508813494 and holds a License No. (Texas).

The current practice location address for Kellum Medical Group, Pa is 7323 Marbach Rd Ste 104, San Antonio, TX and can be reached out via phone at 210-674-0257 and via fax at 210-369-9064.

Location: 7323 Marbach Rd Ste 104, San Antonio, TX, 78227-1905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508813494
Provider Name
Kellum Medical Group, Pa
Credential
Provider Entity Type
Organization
Address
7323 Marbach Rd Ste 104, San Antonio, TX, 78227-1905
Phone Number
210-674-0257
Fax Number
210-369-9064
Provider Enumeration Date
05/27/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346646510 01 TX MATTHEW ARISMENDEZ, PA-C / NPI#
1508813494 01 TX KELLUM MEDICAL GROUP, PA / NPI TYPE 2
1265413264 01 TX ALICE T. BLACKMON, NP-C / NPI#
1174518625 01 TX DANIEL H KELLUM SR., DO - NPI
1366623639 01 TX KIMBERLY 'KIM' DIAZ, PA-C
1063070308 01 TX MANUELA BERRY, NP-C / NPI#
1588641377 01 TX SALVADOR VAZQUEZ, MD / NPI#
1396908950 01 TX DENISE KELLUM, PA-C / NPI#
institution
Provider Business Practice Location Address Details
Address
7323 Marbach Rd Ste 104
City
San Antonio
State
Texas
Zip
78227-1905
Phone Number
210-674-0257
Fax Number
210-369-9064
person
Provider Business Mailing Address Details
Address
7323 Marbach Rd Ste 104
City
San Antonio
State
Texas
Zip
78227-1905
Phone Number
210-674-0257
Fax Number
210-369-9064
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
()
Definition
Definition to come...
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