47th Medical Group

NPI 1053399188 - Clinic/Center - 261QM1101X

NPI Details
NPI 1053399188
Enumeration Date 01/09/2006
Last Updated 03/03/2014
Entity Type Healthcare Provider
Active Over 13 years ago
Authorized Information
Name THERESA MARIE THERESA
Position AIR FORCE UBO ANALYST
Phone (830) 398-6320
Fax (830) 298-6439
Practice Location
590 MITCHELL BLVD
LAUGHLIN AFB TX, 78843-5242, US
Phone (830) 398-6320
Fax (830) 298-6439
Business Location
590 MITCHELL BLVD
47 MDSS SGSRR
LAUGHLIN AFB TX, 78843-5242, US
Phone (830) 398-6320
Fax (830) 298-6439
Toxanomy
Taxonomy Code 261QM1101X
License State
License Number
Remove 1053399188 NPI Number
 

According to our database, 47th Medical Group NPI is 1053399188, taxonomy code is 261QM1101X 47th Medical Group physically located at 590 Mitchell Blvd, Laughlin Afb TX, 78843-5242. NPI Number 1033115704 has the healthcare provider type.

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1053399188 NPI number is provided on an as is basis without warranty of any kind. 1053399188 is maintained by the National Plan & Provider Enumeration System. The contents of 47th Medical Group are for informational purposes only.