person
Dr. Chung Siedlecki, MD
Military Health Care Provider in Lackland A F B, Texas
NPI 1992783211

Chung Siedlecki is a Military Health Care Provider based in Lackland Afb, TX. Chung Siedlecki practices in Lackland A F B, TX and has the professional credentials of MD. The NPI Number for Chung Siedlecki is 1992783211 and holds a License No. MD 051665 (Texas).

The current practice location address for Chung Siedlecki is 1515 Truemper St, Lackland A F B, TX and can be reached out via phone at 210-292-3613 and via fax at 210-292-3628.

Location: 1515 Truemper St, Lackland A F B, TX, 78236
person
Provider Profile Details
NPI Number
1992783211
Provider Name
Chung Siedlecki
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1515 Truemper St, Lackland A F B, TX, 78236
Phone Number
210-292-3613
Fax Number
210-292-3628
Provider Enumeration Date
01/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1515 Truemper St
City
State
Zip
78236-5583
Phone Number
210-292-3613
Fax Number
210-292-3628
person
Provider Business Mailing Address Details
Address
1515 Truemper St
City
State
Zip
78236-5583
Phone Number
210-292-3613
Fax Number
210-292-3628
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
MD 051665 (Pennsylvania)
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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