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Matthew Ryan Michienzi, DO
Military Health Care Provider in Jbsa-Fort Sam Houston, Texas
NPI 1699423459

Matthew Ryan Michienzi is a Military Health Care Provider based in Jbsa-Fort Sam Houston, TX. Matthew Ryan Michienzi practices in Jbsa-Fort Sam Houston, TX and has the professional credentials of DO. The NPI Number for Matthew Ryan Michienzi is 1699423459 and holds a License No. (Texas).

The current practice location address for Matthew Ryan Michienzi is Brooke Army Medical Center Pediatrics, Jbsa-Fort Sam Houston, TX and can be reached out via phone at 210-916-9928.

Location: Brooke Army Medical Center Pediatrics, Jbsa-Fort Sam Houston, TX, 78234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699423459
Provider Name
Matthew Ryan Michienzi
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
Brooke Army Medical Center Pediatrics, Jbsa-Fort Sam Houston, TX, 78234
Phone Number
210-916-9928
Fax Number
Provider Enumeration Date
03/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Brooke Army Medical Center Pediatrics
City
Jbsa-Fort Sam Houston
State
Texas
Zip
78234
Phone Number
210-916-9928
Fax Number
person
Provider Business Mailing Address Details
Address
Brooke Army Medical Center Pediatrics
City
Jbsa-Fort Sam Houston
State
Texas
Zip
78234
Phone Number
210-916-9928
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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