person
Colton Ken Dessert
Military Health Care Provider in Jbsa Lackland, Texas
NPI 1750959110

Colton Ken Dessert is a Military Health Care Provider based in Lackland Afb, TX. Colton Ken Dessert practices in Jbsa Lackland, TX. The NPI Number for Colton Ken Dessert is 1750959110 and holds a License No. (Texas).

The current practice location address for Colton Ken Dessert is 2200 Bergquist Dr Ste 1, Jbsa Lackland, TX and can be reached out via phone at 210-292-7412.

Location: 2200 Bergquist Dr Ste 1, Jbsa Lackland, TX, 78236
person
Provider Profile Details
NPI Number
1750959110
Provider Name
Colton Ken Dessert
Credential
Provider Entity Type
Individual
Gender
Male
Address
2200 Bergquist Dr Ste 1, Jbsa Lackland, TX, 78236
Phone Number
210-292-7412
Fax Number
Provider Enumeration Date
06/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2200 Bergquist Dr Ste 1
City
State
Zip
78236-9908
Phone Number
210-292-7412
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Bergquist Dr Ste 1
City
State
Zip
78236-9908
Phone Number
210-292-7412
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
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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