NPI
12th Medical Group Randolph
NPI 1316911597
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-02-15
- Last updated
- 2010-11-15
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 221 3rd St W, Bldg 1040
- City
- Randolph A F B TX
- Postal code
- 78150-4800
- Phone
- (210) 652-2420
Organization contact
- Name
- Serena Hansken
- Title
- Air Force Uniform Business Office
- Phone
- (703) 588-6419
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Randolph A F B, TX. 15 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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