Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
17TH MEDGRP-GOODFELLOW
Active OrganizationMilitary/U.S. Coast Guard Outpatient Clinic · GOODFELLOW AFB, TX
Registration Details
- NPI Number
- 1104805142
- Provider Type
- Organization
- NPI Issued
- Jan 10, 2006 (20.279006249899 yrs)
- Last Updated
- Jun 17, 2025
Practice Information
- Address
-
271 FORT RICHARDSON AVEGOODFELLOW AFB, TX, 769084901Browse TX providers · Browse ZIP 76908
- Phone
- 3256545974
- Fax
- 3256543121
- Primary Specialty
-
Military/U.S. Coast Guard Outpatient Clinic
261QM1100X
- Additional Specialty
- Military/U.S. Coast Guard Pharmacy
- Additional Specialty
- Military/U.S. Coast Guard Outpatient Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.