Samuel Wyatt Hensley, IDMT

NPI #1710403761 in Cibolo, Texas

Provider Information

NPI Number: 1710403761
Entity Type: Individual
Name: Samuel Wyatt Hensley, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Aug 21, 2017
Last Updated: Aug 21, 2017

Practice Location

Address: 100 CIRRUS CV
City: Cibolo
State: Texas
ZIP Code: 78108
Phone: (210) 596-6938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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