Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLTON KEN DESSERT
ActiveCOLTON KEN DESSERT is a Military Health Care Provider healthcare provider located in JBSA LACKLAND, Texas. NPI 1750959110 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1750959110
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2021 (5.1774262421042 yrs)
- Last Updated
- Jun 14, 2021
Practice Information
- Address
-
2200 BERGQUIST DR STE 1JBSA LACKLAND, TX, 782369908Browse TX providers · Browse ZIP 78236
- Phone
- 2102927412
- Primary Specialty
-
Military Health Care Provider
171000000X
Other Military Health Care Provider Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| DR. LISA CARLETTE MITCHELL | M.D. | 1982673604 |
| ALEXANDRIA BARTON | DO | 1316689300 |
| ALEJANDRA VRAANICA GUTIERREZ | — | 1598565673 |
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.