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Sofia Fitzgerald, IDMT

Military Health Care Provider, Independent Duty Medical Technicians in Dyess Afb, TX. Individual provider (NPI-1).

NPI number1013744697
StatusActive
Last updated in NPPESJun 4, 2025

Details

NPI
1013744697
Entity type
Individual (NPI-1)
Name
Sofia Fitzgerald
Credential
IDMT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 17, 2024
Certification date
Jun 4, 2025
Last updated
Jun 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––Yes

Practice location

697 Louisiana Rd
Dyess Afb, TX 79607-1141

Phone 229-848-5222

Mailing address

697 Louisiana Rd
Dyess Afb, TX 79607-1141

Phone 229-848-5222

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Other Independent Duty Medical Technicians providers in Dyess Afb, TX

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