Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 8

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Military Health Care Provider Providers

NPI Name Type Address

1033197454

MD Derek Kurt Urban

Individual

2200 Bergquist Dr

Suite 1

Lackland A F B, TX

1992783211

DR. M.D. Chung Siedlecki

Individual

1515 Truemper St

Lackland A F B, TX

1609848241

MR. PT Mark W Pape

Individual

312 Westover Rd

Suite 7

Lackland A F B, TX

1609806736

DR. M.D. Miguel A Montalvo

Individual

2200 Bergquist Dr

Suite 1

Lackland A F B, TX

1669488524

DR. M.D. Francisco Javier Dominguez

Individual

2200 Bergquist Dr

Suite 1

Lackland A F B, TX

1225118920

MPT Lisa Smith

Individual

2200 Bergquist Dr Ste 1

Attn: Credentials

Lackland A F B, TX

1780763334

MRS. OTR/L Lakisha Deshawnda Chaffin-hickerson

Individual

2200 Bergquist Dr Ste 1

Department Of Occupational Therapy, Whmc

Lackland A F B, TX

1144290974

William Kruyer

Individual

2200 Bergquist Dr

Suite 1 - Credentials/cmc

Lackland A F B, 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