Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
TX license #541611taxonomy 171000000X
Identifiers
Type
Value
Notes
01 (TX)
51PK6
CAGE CODE FOR WAWF
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Prepaid Therapy
Type code 3recorded 2013-06-23
Practice context
Single-site organization. Only one practice location on file.
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