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Jesse Lee Wolfe
Military Health Care Provider in Fort Hood, Texas
NPI 1629646385

Jesse Lee Wolfe is a Military Health Care Provider based in Fort Hood, TX. Jesse Lee Wolfe practices in Fort Hood, TX. The NPI Number for Jesse Lee Wolfe is 1629646385 and holds a License No. (Texas).

The current practice location address for Jesse Lee Wolfe is 36065 Santa Fe Ave, Fort Hood, TX and can be reached out via phone at 484-695-8616.

Location: 36065 Santa Fe Ave, Fort Hood, TX, 76544-5060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629646385
Provider Name
Jesse Lee Wolfe
Credential
Provider Entity Type
Individual
Gender
Male
Address
36065 Santa Fe Ave, Fort Hood, TX, 76544-5060
Phone Number
484-695-8616
Fax Number
Provider Enumeration Date
06/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36065 Santa Fe Ave
City
Fort Hood
State
Texas
Zip
76544-5060
Phone Number
484-695-8616
Fax Number
person
Provider Business Mailing Address Details
Address
36065 Santa Fe Ave
City
Fort Hood
State
Texas
Zip
76544-5060
Phone Number
484-695-8616
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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