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Janika Rae Petersburg, DO
Military Health Care Provider in Jbsa Ft Sam Houston, Texas
NPI 1144081209

Janika Rae Petersburg is a Military Health Care Provider based in Jbsa Ft Sam Houston, TX. Janika Rae Petersburg practices in Jbsa Ft Sam Houston, TX and has the professional credentials of DO. The NPI Number for Janika Rae Petersburg is 1144081209 and holds a License No. (Texas).

The current practice location address for Janika Rae Petersburg is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX and can be reached out via phone at 210-916-8666.

Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144081209
Provider Name
Janika Rae Petersburg
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Phone Number
210-916-8666
Fax Number
Provider Enumeration Date
01/17/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-8666
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-8666
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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