Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
12TH MEDICAL GROUP RANDOLPH
Active OrganizationMilitary/U.S. Coast Guard Outpatient Clinic · RANDOLPH A F B, TX
Registration Details
- NPI Number
- 1316911597
- Provider Type
- Organization
- NPI Issued
- Feb 15, 2006 (20.180376829834 yrs)
- Last Updated
- Nov 15, 2010
Practice Information
- Address
-
221 3RD ST WBLDG 1040RANDOLPH A F B, TX, 781504800Browse TX providers · Browse ZIP 78150
- Phone
- 2106522420
- Fax
- 2106526571
- 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.