1316911597 12TH MEDICAL GROUP RANDOLPH
Military/U.S. Coast Guard Outpatient Clinic/Center
Active
Basic Information
- Organization Name
- 12TH MEDICAL GROUP RANDOLPH
- Enumeration Date
- February 15, 2006
- Last Update
- November 15, 2010
- Authorized Official
- SERENA LYNN HANSKEN
AIR FORCE UNIFORM BUSINESS OFFICE
Phone: (703) 588-6419
Practice Location
- Address
- 221 3RD ST W
BLDG 1040
RANDOLPH A F B, TX 781504800 - Phone
- (210) 652-2420
- Fax
- (210) 652-6571
Mailing Address
- Address
- 221 3RD ST W
BLDG 1040
RANDOLPH A F B, TX 781504800 - Phone
- (210) 652-2420
- Fax
- (210) 652-6571
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Military and U.S. Coast Guard Ambulatory Procedure | 261QM1101X | Clinic/Center | N/A | N/A | No |
| Military/U.S. Coast Guard Pharmacy | 332000000X | Military/U.S. Coast Guard Pharmacy | N/A | N/A | No |
| Military/U.S. Coast Guard Outpatient Clinic/Center Military/U.S. Coast Guard Outpatient | 261QM1100X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4512908 | 01 | TX | NCPDP |
Frequently Asked Questions
What is 12TH MEDICAL GROUP RANDOLPH's NPI number?
12TH MEDICAL GROUP RANDOLPH's NPI number is 1316911597.
Which doctor has NPI number 1316911597?
The doctor with NPI number 1316911597 is 12TH MEDICAL GROUP RANDOLPH.
What is 12TH MEDICAL GROUP RANDOLPH's practice address?
12TH MEDICAL GROUP RANDOLPH's practice address is 221 3RD ST W, BLDG 1040, RANDOLPH A F B, TX, 781504800.
Which doctor practices at 221 3RD ST W, BLDG 1040, RANDOLPH A F B, TX, 781504800?
12TH MEDICAL GROUP RANDOLPH practices at 221 3RD ST W, BLDG 1040, RANDOLPH A F B, TX, 781504800.
What is 12TH MEDICAL GROUP RANDOLPH's phone number?
12TH MEDICAL GROUP RANDOLPH's phone number is (210) 652-2420.
Who is (210) 652-2420?
(210) 652-2420 is the phone number for 12TH MEDICAL GROUP RANDOLPH.
What is 12TH MEDICAL GROUP RANDOLPH's specialty?
12TH MEDICAL GROUP RANDOLPH's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 12TH MEDICAL GROUP RANDOLPH?
12TH MEDICAL GROUP RANDOLPH is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 12TH MEDICAL GROUP RANDOLPH a Military/U.S. Coast Guard Outpatient?
Yes, 12TH MEDICAL GROUP RANDOLPH is a Military/U.S. Coast Guard Outpatient.
Is 12TH MEDICAL GROUP RANDOLPH still practicing?
Yes, 12TH MEDICAL GROUP RANDOLPH is currently practicing.
Is 12TH MEDICAL GROUP RANDOLPH accepting new patients?
12TH MEDICAL GROUP RANDOLPH may be accepting new patients. Please call their office at (210) 652-2420 to inquire about availability.
Is NPI 1316911597 still active?
Yes, NPI 1316911597 is currently active.
Where does 12TH MEDICAL GROUP RANDOLPH practice?
12TH MEDICAL GROUP RANDOLPH practices in RANDOLPH A F B, TX.