Organization · Type 2 NPI
17th Medical Group
Health Service Clinic/Center · Goodfellow Afb, TX
NPI number
1235490574
Active
Practice location
271 Fort Richardson Ave
Goodfellow Afb, TX 76908-4901
Mailing address
1407 Gregory Dr
San Angelo, TX 76905-4213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
45 other providers at this address
- 17th Medgrp-GoodfellowMilitary/U.S. Coast Guard Outpatient Clinic/Center Goodfellow Afb, TX NPI 1104805142
- 17th Medgrp-GoodfellowMilitary/U.S. Coast Guard Pharmacy Goodfellow Afb, TX NPI 1346654175
- Alexander Briones-Hernandez, PharmDPharmacist Goodfellow Afb, TX NPI 1255188694
- Alexis Jade MoonFamily Nurse Practitioner San Angelo, TX NPI 1922848274
- Alicia Marie Dudley, LICSWClinical Social Worker San Angelo, TX NPI 1588828974
- Amanda Michele Durbin, MAClinical Psychologist Goodfellow Afb, TX NPI 1902479181
- Aubrie Wnek, PharmDPharmacist Goodfellow Afb, TX NPI 1043688849
- Blake R. Lewis, DDSDentist Goodfellow Afb, TX NPI 1396430468
- Brenden David LempDentist San Angelo, TX NPI 1144017344
- Brett Logan CarrDentist Goodfellow Afb, TX NPI 1497433759
- Charles Zapata, PhDClinical Psychologist San Angelo, TX NPI 1255974044
- Devin Merritt, PhDPsychologist Goodfellow Afb, TX NPI 1568859650
About NPI 1235490574
17th Medical Group's National Provider Identifier is 1235490574, issued on Jun 4, 2012. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Goodfellow Afb, TX. The record was last updated on Jun 4, 2012.