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Thomas Sullivan Caldwell
General Practice Physician in Jbsa - Fort Sam Houston, Texas
NPI 1124768718

Thomas Sullivan Caldwell is a General Practice Physician based in Jbsa - Fort Sam Houston, TX. Thomas Sullivan Caldwell practices in Jbsa - Fort Sam Houston, TX. The NPI Number for Thomas Sullivan Caldwell is 1124768718 and holds a License No. (Texas).

The current practice location address for Thomas Sullivan Caldwell is 3551 Roger Brooke Dr, Jbsa - Fort Sam Houston, TX and can be reached out via phone at 210-916-4789 and via fax at 210-916-6654.

Location: 3551 Roger Brooke Dr, Jbsa - Fort Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124768718
Provider Name
Thomas Sullivan Caldwell
Credential
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Jbsa - Fort Sam Houston, TX, 78234-4504
Phone Number
210-916-4789
Fax Number
210-916-6654
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Jbsa - Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-4789
Fax Number
210-916-6654
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Jbsa - Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-4789
Fax Number
210-916-6654
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
U7396 (Texas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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