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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERENCE A GRADEN

Active

TERENCE A GRADEN is a Independent Duty Medical Technician healthcare provider located in LACKLAND, AFB, Texas. NPI 1679856850 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · LACKLAND, AFB, TX

Registration Details

NPI Number
1679856850
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2011 (14.930016371718 yrs)
Last Updated
Sep 23, 2011

Practice Information

Address
2200 BERGQUIST DR. SUITE 1
WILFORD HALL
LACKLAND, AFB, TX, 78236
Browse TX providers · Browse ZIP 78236
Phone
2108872123
Primary Specialty
Independent Duty Medical Technician
1710I1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.