Individual provider · Type 1 NPI

Thomas Anthony Dieffenthaller

Military Health Care Provider · Fort Sam Houston, TX

NPI number 1790612943 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Call (210) 916-7500 Map

Mailing address

6970 Bird Rd Apt 527
Miami, FL 33155-3792

Other practice locations

  • 6970 Bird Rd Apt 527, Miami, FL 33155-3792 · (224) 567-9150

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

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 1790612943

Thomas Anthony Dieffenthaller's National Provider Identifier is 1790612943, issued on May 4, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on May 14, 2026.