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Ariel Kidron
Military Health Care Provider in Jbsa Lackland, Texas
NPI 1659078533

Ariel Kidron is a Military Health Care Provider based in Jbsa Ft Sam Houston, TX. Ariel Kidron practices in Jbsa Lackland, TX. The NPI Number for Ariel Kidron is 1659078533 and holds a License No. (Texas).

The current practice location address for Ariel Kidron is 1100 Wilford Hall Loop, Jbsa Lackland, TX and can be reached out via phone at 210-292-5350.

Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659078533
Provider Name
Ariel Kidron
Credential
Provider Entity Type
Individual
Gender
Male
Address
1100 Wilford Hall Loop, Jbsa Lackland, TX, 78234-4504
Phone Number
210-292-5350
Fax Number
Provider Enumeration Date
02/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-292-5350
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-292-5350
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.
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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