person
Colleen Daugherty
Military Health Care Provider in Sheppard Afb, Texas
NPI 1659359412

Colleen Daugherty is a Military Health Care Provider based in Wichita Falls, TX. Colleen Daugherty practices in Sheppard Afb, TX. The NPI Number for Colleen Daugherty is 1659359412 and holds a License No. OT3334 (Texas).

The current practice location address for Colleen Daugherty is 149 Hart St, Sheppard Afb, TX and can be reached out via phone at 940-676-6960.

Location: 149 Hart St, Sheppard Afb, TX, 76310-1121
person
Provider Profile Details
NPI Number
1659359412
Provider Name
Colleen Daugherty
Credential
Provider Entity Type
Individual
Gender
Female
Address
149 Hart St, Sheppard Afb, TX, 76310-1121
Phone Number
940-676-6960
Fax Number
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VAD 000 01 TX MILITARY
institution
Provider Business Practice Location Address Details
Address
149 Hart St
City
State
Zip
76311-3477
Phone Number
940-676-6960
Fax Number
person
Provider Business Mailing Address Details
Address
149 Hart St
City
State
Zip
76311-3477
Phone Number
940-676-6960
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
OT3334 (Florida)
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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