Dyess Afb Mtf

LBN: 7Th Medical Group
Dyess Afb Mtf is an health care organization with primary practice located at 697 Louisiana Dr Suite 1C5, Dyess Afb TX 79607-1367. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient is the primary health care specialty. 7Th Medical Group can be contacted via phone (325) 696-4712, or through Mitchell, Theresa Marie via phone (703) 681-7613.

Contact Information

Primary practice address
697 Louisiana Dr Suite 1C5 Dyess Afb TX 79607-1367
Phone: (325) 696-4712
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Theresa Marie
Phone: (703) 681-7613

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1477523330
LBN Legal business name 7Th Medical Group
DBA Doing business as Dyess Afb Mtf
Authorized official Mitchell, Theresa Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 3rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477523330 NPPES
Texas Other 4511413 NCPDP

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