| Organization Name: | 37TH MEDICAL GROUP |
| NPI Number: | 1235355322 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SERENA LYNN HANSKEN (BUSINESS OFFICE PROGRAM MANAGER) |
| Mailing Address: | 2506 Biggs Avenue Bldg. 2506 Lackland Afb |
| State: | TX US |
| Postal Code: | 782365511 |
| Phone Number: | 2106719421 |
| Fax Number: | 2109251127 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 11/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1101X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Military and U.S. Coast Guard Ambulatory Procedure |
| Taxonomy Definition: | That part of a |