Michael S Fontenot in Kerrville - Pediatrics

Michael S Fontenot - NPI 1790786937

Michael S Fontenot is a Pediatrics in Kerrville, Texas. Michael S Fontenot practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Michael S Fontenot is 1790786937. The last update date is 2011-04-14.

Michael S Fontenot's current location address is 1331 Bandera Hwy Ste 10, Kerrville, Texas. You can contact this provider via phone number 8302571440 and fax number 8302572542. The mailing address for Michael S Fontenot is 1331 Bandera Hwy Ste 10, Kerrville, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael S Fontenot
Address 1331 Bandera Hwy Ste 10, Kerrville, Texas
Phone Number 8302571440
Fax Number 8302572542
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1790786937
Provider Enumeration Date 2005-08-10
Last Updated Date 2011-04-14

Provider Mailing Address Detail

Address 1331 Bandera Hwy Ste 10
City Kerrville
State Texas (TX)
Post Code 780289535
Phone Number 8302571440
Fax Number 8302572542

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No J5761
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
106116 TX SUPERIOR CHIP
130580703 TX --
0085EY TX BCBS

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FAQs about Michael S Fontenot

What is the unique 10-digit identification code assigned to Michael S Fontenot by the Centers for Medicare & Medicaid Services?

The Michael S Fontenot has been issued the NPI (National Provider Identifier) 1790786937, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Michael S Fontenot's facilities are geographically located?

The facilities of Michael S Fontenot are physically situated at the following location: 1331 Bandera Hwy Ste 10, Kerrville, TX, 780289535.

What is Michael S Fontenot's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael S Fontenot is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date was the 1790786937 assigned to Michael S Fontenot?

The Michael S Fontenot was issued its 1790786937 on 2005-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Michael S Fontenot's details last updated?

The information pertaining to the Michael S Fontenot, including its address, specialty, and other details, was most recently updated on 2011-04-14.

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