17TH Medgrp-Goodfellow
NPI 1104805142 belongs to 17TH Medgrp-Goodfellow, a military/u.s. coast guard outpatient clinic/center with a practice location in Goodfellow Afb, TX. The NPI was issued on January 10, 2006, and the record was last updated in NPPES on June 17, 2025. The record lists 3 taxonomy codes.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center Primary | 261QM1100X | (TX) |
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | 261QM1101X | Not listed |
| Military/U.S. Coast Guard Pharmacy | 332000000X | Not listed |
Practice location
Local context
Active NPPES records list 1 provider with military/u.s. coast guard outpatient clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 62 in Texas and 683 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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