Organization Name: | FIRST RESPONSE MEDICAL TRAINING |
NPI Number: | 1619348232 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL ANDERSON (PA) |
Mailing Address: | 2904 Trimmier Rd Suite 2 Killeen |
State: | TX US |
Postal Code: | 765426038 |
Phone Number: | 2542470460 |
Fax Number: | 2542458899 |
NPI Enumeration Date: | 10/08/2015 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |