12TH Medical Group Randolph

Organization Active
NPI 1316911597
Military/U.S. Coast Guard Outpatient Clinic/Center Randolph A F B, TX

NPI 1316911597 belongs to 12TH Medical Group Randolph, a military/u.s. coast guard outpatient clinic/center with a practice location in Randolph A F B, TX. The NPI was issued on February 15, 2006, and the record was last updated in NPPES on November 15, 2010. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2010. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100X Not listed
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X Not listed
Military/U.S. Coast Guard Pharmacy 332000000X Not listed

Practice location

221 3rd St W
Bldg 1040
Randolph A F B, TX 78150-4800
Phone: (210) 652-2420

Local context

Active NPPES records list 2 providers with military/u.s. coast guard outpatient clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

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

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NPPES data as of · Source: CMS NPPES

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