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Nathaniel Thomas Deyo
Military Health Care Provider in Jbsa Ft Sam Houston, Texas
NPI 1952152431

Nathaniel Thomas Deyo is a Military Health Care Provider based in Jbsa Ft Sam Houston, TX. Nathaniel Thomas Deyo practices in Jbsa Ft Sam Houston, TX. The NPI Number for Nathaniel Thomas Deyo is 1952152431 and holds a License No. (Texas).

The current practice location address for Nathaniel Thomas Deyo is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX and can be reached out via phone at 210-916-5000 and via fax at 210-916-2077.

Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952152431
Provider Name
Nathaniel Thomas Deyo
Credential
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Phone Number
210-916-5000
Fax Number
210-916-2077
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-5000
Fax Number
210-916-2077
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-5000
Fax Number
210-916-2077
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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