NPI age
7 years
Enumerated 2018-08-13
● Active Type 2 · Organization
Subpart
William Beaumont Army Medical Center
William Beaumont Army Medical Center is 1 of 62 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gonzalez
Medical Services Accounts Officer
Last NPPES update
2024-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 62 active clinic/center providers in Texas.
NPI age
7 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-08Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
11291 Sgt E Churchill St
Fort Bliss, TX 799188001
Mailing address
5005 N Piedras St, Attn Treasurer'S Office
El Paso, TX 799205001
Authorized official
Natividad Gonzalez
Medical Services Accounts Officer
📞 9157422753
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Malcolm Carlyle Specialist/Technologist NPI 1194542704
Specialties
-
Clinic/Center PrimaryThe 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1295838787 | PARENT FACILITY WILLIAM BEAUMONT AMC NPI |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Senior Leader Sustainment USASMA
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of William Beaumont Army Medical Center.
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