Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 3

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Military Health Care Provider Providers

NPI Name Type Address

1861994766

DR. DO Ian Christopher Sanford

Individual

697 Louisiana Rd

Dyess Afb, TX

1811525595

DO Tiffany Lee Russell

Individual

697 Louisiana Rd

Dyess Afb, TX

1013437268

DO Christine Marie Longo

Individual

697 Louisiana Rd

Dyess Afb, TX

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 171000000X
Display Name Military Health Care Provider
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Independent Duty Medical Technicians

1710I1003X • providers: 1,299