Bulverde Family Medicine PA

NPI #1265801492 in Bulverde, Texas

Provider Information

NPI Number: 1265801492
Entity Type: Organization
Organization Name: Bulverde Family Medicine PA
Primary Specialty: Hospitalist
Enumeration Date: Sep 17, 2015
Last Updated: Jun 8, 2021

Practice Location

Address: 805 KELLY CREEK RD
City: Bulverde
State: Texas
ZIP Code: 78163-3035
Phone: (830) 980-1805

Authorized Official

Name: DR. JEFF D ETHRIDGE, MD
Title: PHYSICIAN OWNER
Phone: (830) 980-1805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Hospitalist	208M00000X	Primary

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