person
Rebecca Naomi Mickle
Military Health Care Provider in San Antonio, Texas
NPI 1265180616

Rebecca Naomi Mickle is a Military Health Care Provider based in San Antonio, TX. Rebecca Naomi Mickle practices in San Antonio, TX. The NPI Number for Rebecca Naomi Mickle is 1265180616 and holds a License No. (Texas).

The current practice location address for Rebecca Naomi Mickle is 3551 Roger Brooke Dr, San Antonio, TX and can be reached out via phone at 210-916-8558.

Location: 3551 Roger Brooke Dr, San Antonio, TX, 78234-4504
person
Provider Profile Details
NPI Number
1265180616
Provider Name
Rebecca Naomi Mickle
Credential
Provider Entity Type
Individual
Gender
Female
Address
3551 Roger Brooke Dr, San Antonio, TX, 78234-4504
Phone Number
210-916-8558
Fax Number
Provider Enumeration Date
03/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
210-916-8558
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
210-916-8558
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
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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