Provider Demographics
NPI:1285267419
Name:KERRI PILLAR, PLLC
Entity type:Organization
Organization Name:KERRI PILLAR, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:PILLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-212-1501
Mailing Address - Street 1:4206 N BEN JORDAN ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3076
Mailing Address - Country:US
Mailing Address - Phone:361-212-1501
Mailing Address - Fax:
Practice Address - Street 1:4206 N BEN JORDAN ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3076
Practice Address - Country:US
Practice Address - Phone:361-212-1501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty