| Organization Name: | JEROME D. KIZZART, M.D., PLLC |
| NPI Number: | 1538499256 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEROME DOUGLAS KIZZART (OWNER/PHYSICIAN) |
| Mailing Address: | 6511 Us Highway 181 N Floresville |
| State: | TX US |
| Postal Code: | 781146281 |
| Phone Number: | 8303932400 |
| Fax Number: | 8303932488 |
| NPI Enumeration Date: | 12/31/2009 |
| NPI Last Update Date: | 01/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PE0004X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Emergency Medical Services |
| Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |