P Praxis·MD
● Active Type 2 · Organization Subpart

59th Mdw-Whasc-Lackland

Clinic/Center·Lackland A F B, TX· NPI 1275511776 · Enumerated 2006 · 20 years on NPI
59th Mdw-Whasc-Lackland is 1 of 2 clinic/center organizations in Texas.
NPI age
20 years
Enumerated 2006-01-04
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lewandowski
Dha Ubo
Last NPPES update
2025-06-17
Source: monthly bulk 2026-05

How this organization compares

Across 2 active clinic/center providers in Texas.

NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 50% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
2200 Bergquist Dr, Suite 1 Adbs
Lackland A F B, TX 782369907
📞 2102927575fax 2102922592
Mailing address
2200 Bergquist Dr, Suite 1 Adbs
Lackland A F B, TX 782369907
📞 2102927575fax 2102922592

Authorized official

Jen Lewandowski
Dha Ubo
📞 7038174030

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a...
    taxonomy 261QM1101X
  • Clinic/Center
    The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a...
    taxonomy 261QM1100X
  • Military/U.S. Coast Guard Pharmacy
    A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a...
    taxonomy 332000000X

Identifiers

TypeValueNotes
01 (TX) HH6032 BLUE CROSS BLUE SHIELD
01 (TX) 4596776 NCPDP
05 (TX) 021757201

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • 59 MDW ADBS
    Type code 5 recorded 2007-04-19

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Subpart of 59th Mdw-Whasc-Lackland.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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