Andrew Amadeus De Los Reyes, IDMT

NPI #1821572561 in Goodfellow Afb, Texas

Provider Information

NPI Number: 1821572561
Entity Type: Individual
Name: Andrew Amadeus De Los Reyes, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Sep 19, 2018
Last Updated: Sep 19, 2018

Practice Location

Address: 271 FORT RICHARDSON AVE BLDG 1001
City: Goodfellow Afb
State: Texas
ZIP Code: 76908-4901
Phone: (325) 654-1484

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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