Provider Demographics
NPI:1457974776
Name:UVALDE COUNTY HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:UVALDE COUNTY HOSPITAL AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PRACTICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:K
Authorized Official - Last Name:NUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-278-6251
Mailing Address - Street 1:1195 GARNER FIELD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-4822
Mailing Address - Country:US
Mailing Address - Phone:830-278-6251
Mailing Address - Fax:830-278-8873
Practice Address - Street 1:1195 GARNER FIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4822
Practice Address - Country:US
Practice Address - Phone:830-407-8415
Practice Address - Fax:830-278-3359
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UVALDE COUNTY HOSPITAL AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty