12th Medical Group Randolph
12th Medical Group Randolph is a Military/U.S. Coast Guard Outpatient Clinic/Center in Randolph A F B, Texas. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
221 3rd St W Bldg 1040Randolph A F B, TX 78150-4800
Phone: (210) 652-2420
Fax: (210) 652-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military/U.S. Coast Guard Outpatient Clinic/Center (primary) | Taxonomy 261QM1100X |
|---|---|
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Taxonomy 261QM1101X |
| Military/U.S. Coast Guard Pharmacy | Taxonomy 332000000X |
Record details
| NPI number | 1316911597 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Serena Hansken — Air Force Uniform Business Office · (703) 588-6419 |
| Other names | Randolph Afb Clinic |
| NPI enumerated | February 15, 2006 |
| Last updated in NPPES | November 15, 2010 |
| Mailing address | 221 3rd St W, Bldg 1040, Randolph A F B, TX 78150-4800 |