P Praxis·MD
● Active Type 1 · Individual

Teresa Lynn Micotto, M.D.

Preventive Medicine·Jbsa Lackland, TX· NPI 1932580388 · Enumerated 2015 · 10 years on NPI
Micotto is 1 of 7 preventive medicine providers in Jbsa Lackland and 1 of 73 in Texas.
NPI age
10 years
Enumerated 2015-06-11
Primary specialty
Preventive Medicine
Plus 1 subspecialty
Licensed in
NE
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 73 active preventive medicine providers in Texas.

NPI age
10 years
↓ 9 yr below median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-06Enumerated in NPPES
2015 2026

Where they practice

Practice location
1100 Wilford Hall Loop, Attn: 59 Mdw/sghc
Jbsa Lackland, TX 782365638
📞 2102929556
Mailing address
1100 Wilford Hall Loop, Attn: 59 Mdw/sghc
Jbsa Lackland, TX 782365638
📞 2102929556

Specialties

  • Preventive Medicine Primary
    Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation...
    NE license #29639 taxonomy 2083A0100X
  • Military Health Care Provider
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    NE license #29639 taxonomy 171000000X

Practice context

Part of a multi-provider practice. 222 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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