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Mackenzie Reed Joyce Prendergast, DO
General Practice Physician in Jbsa-Fort Sam Houston, Texas
NPI 1326783671

Mackenzie Reed Joyce Prendergast is a General Practice Physician based in Jbsa-Fort Sam Houston, TX. Mackenzie Reed Joyce Prendergast practices in Jbsa-Fort Sam Houston, TX and has the professional credentials of DO. The NPI Number for Mackenzie Reed Joyce Prendergast is 1326783671 and holds a License No. (Texas).

The current practice location address for Mackenzie Reed Joyce Prendergast is San Antonio Military Medical Center, Mche-Emr, Jbsa-Fort Sam Houston, TX and can be reached out via phone at 210-916-4789.

Location: San Antonio Military Medical Center, Mche-Emr, Jbsa-Fort Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326783671
Provider Name
Mackenzie Reed Joyce Prendergast
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
San Antonio Military Medical Center, Mche-Emr, Jbsa-Fort Sam Houston, TX, 78234-4504
Phone Number
210-916-4789
Fax Number
Provider Enumeration Date
05/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
San Antonio Military Medical Center, Mche-Emr
City
Jbsa-Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-4789
Fax Number
person
Provider Business Mailing Address Details
Address
San Antonio Military Medical Center, Mche-Emr
City
Jbsa-Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-4789
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0102208422 (Virginia)
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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