Individual provider · Type 1 NPI

Jared Matthew Staten, MD

Military Health Care Provider · Fort Cavazos, TX

NPI number 1659169902 Active

Practice location

590 Medical Center Rd
Fort Cavazos, TX 76544-5060

Mailing address

590 Medical Center Road, Building 36065
Apo, AA 76544

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XBP10091432 (TX)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1659169902

Jared Matthew Staten, MD's National Provider Identifier is 1659169902, issued on Apr 28, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Cavazos, TX. The record was last updated on Jul 29, 2026.