Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genesis Gynecology PA

Organization Internal Medicine Physician · NPI 1174792733

Genesis Gynecology PA is an Internal Medicine Physician in Kerrville, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

176 Fairway Dr
Kerrville, TX 78028-6437
Phone: (830) 792-0805
Fax: (830) 792-0833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X
Internal Medicine Physician Taxonomy 207R00000X (TX)
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1174792733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerri Truelock — President · (830) 792-0805
NPI enumeratedFebruary 27, 2008
Last updated in NPPESMarch 13, 2013
Mailing address176 Fairway Dr, Kerrville, TX 78028-6437

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