Fredericksburg Clinic, Pllc
NPI #1033145545 in Fredericksburg, Texas
Provider Information
- NPI Number
- 1033145545
- Entity Type
- Organization
- Organization Name
- Fredericksburg Clinic, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 25, 2006
- Last Updated
- Nov 20, 2017
Practice Location
- Address
- 1308 SOUTH HIGHWAY 16
- City
- Fredericksburg
- State
- Texas
- ZIP Code
- 78624-5058
- Phone
- (830) 997-2181
Authorized Official
- Name
- JOHN RADCLIFFE KOTHMANN, M.D.
- Title
- AUTHORIZED OFFICIAL
- Phone
- (830) 997-2181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Family Medicine |
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