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Willard Earl Bumpers
Student in an Organized Health Care Education/Training Program in Killeen, Texas
NPI 1366153215

Willard Earl Bumpers is a Student in an Organized Health Care Education/Training Program based in Killeen, TX. Willard Earl Bumpers practices in Killeen, TX. The NPI Number for Willard Earl Bumpers is 1366153215 and holds a License No. (Texas).

The current practice location address for Willard Earl Bumpers is 1812 Camilla Rd, Killeen, TX and can be reached out via phone at 910-382-7811.

Location: 1812 Camilla Rd, Killeen, TX, 76549-8110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366153215
Provider Name
Willard Earl Bumpers
Credential
Provider Entity Type
Individual
Gender
Male
Address
1812 Camilla Rd, Killeen, TX, 76549-8110
Phone Number
910-382-7811
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1812 Camilla Rd
City
Killeen
State
Texas
Zip
76549-8110
Phone Number
910-382-7811
Fax Number
person
Provider Business Mailing Address Details
Address
1812 Camilla Rd
City
Killeen
State
Texas
Zip
76549-8110
Phone Number
910-382-7811
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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