Individual provider · Type 1 NPI

Everett Bernard Pannkuk V, DO

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1003753146 Active

Practice location

3551 Roger Brooke Dr
San Antonio, TX 78234-4504

Call (210) 916-7500 Map

Mailing address

292 River Birch Run
Coats, NC 27521-8844

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003753146

Everett Bernard Pannkuk V, DO's National Provider Identifier is 1003753146, issued on Apr 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Apr 29, 2026.