OrganizationActive
Pedernales Medical Group LLP
NPI 1124076674 · Internal Medicine Physician · Fredericksburg, TX
Provider details
- NPI number
- 1124076674
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Thompson, Office Manager(830) 997-2191
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 W Windcrest St
Suite 310
Fredericksburg, TX 78624-4479
Phone: (830) 997-2191
Fax: (830) 997-8202
Street-level locationGet directions
Mailing address
205 W Windcrest St
Fredericksburg, TX 78624-4479
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2015-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.