The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1316911597 |
NPI Entity Type | Organization |
Provider Name |
12th Medical Group Randolph
Other Name |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 221 3rd St W, Bldg 1040, Randolph A F B, TX, US |
Provider Mailing Address | 221 3rd St W, Bldg 1040, Randolph A F B, TX, US, 781504800 |
Is Sole Proprietor? | No |
Official Name | Serena Lynn Hansken |
Official Position | AIR FORCE UNIFORM BUSINESS OFFICE |
Phone | 703-588-6419 |
Taxonomy Code | |
Taxonomy Name | Military/U.S. Coast Guard Outpatient Clinic/Center |
Classification | |
Group | |
Description | The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
No | |||||
No |
NPI | Name | Taxonomy | Address |
---|---|---|---|
DO Merissa Ferguson Individual |
17200 St Lukes Way |
||
MRS. PA-C Sara Marie Dungan Individual |
8122 Datapoint Dr Ste 120 |
||
Jeromy Mullin Individual |
502 E Fm 351 |
||
CRNA Gabriel Ramos Individual |
2805 Victoria Park Dr |
||
DR. MD Anne Abbate Individual |
5502 S Mccoll Rd |
||
Co-may Md Pllc Organization |
7619 Branford Pl Ste 210 |
||
Highrise Health Pllc Organization |
3624 Oak Lawn Ave Ste 110b |
||
LCSW Jaron De An'te Stubbs Individual |
5005 N Piedras St. |
||
MRS. PA Christine M Gonzales Individual |
3624 Oak Lawn Ave Ste 110b |
||
Jamille Edwards Individual |
6300 West Loop S Ste 110 |
||
Bespoke Hospice Care Llc Organization |
9001 Airport Fwy Ste 580 |
||
Global Care Services Organization |
2519 Rustic Trail Ln |
||
LPC Lawanda Martin Individual |
401 E Sonterra Blvd Ste 375 |
||
Chaney Landgraf Individual |
2313 Roosevelt Dr |
||
Kristina Tzartzeva Individual |
1601 Trinity St Bldg B |
||
FNP-BC Dolores Reyes Individual |
6306 Fairbanks N Houston Rd |
||
MRS. FNP Sasha Mireya Gonzalez Individual |
125 N Nueces Park Ln |
||
MRS. FNP Maria Fechner Individual |
125 N Nueces Park Ln |
||
DR. DDS Blessing Alagba Individual |
3550 E Broad St Ste 112 |
||
Jessica Hooson, Lcsw, P.l.l.c. Organization |
1004 Placid Creek Ct |
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