MELISSA LAUREN NGUYEN


Address: 5425 Mc Williams Dr., Medical Aid Station Bldg 5425 Rm 104, San Antonio, TX 78257
Phone: (210) 295-8336

MELISSA LAUREN NGUYEN (NPI# 1093231326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093231326
Entity Type Individual
Full Name MELISSA LAUREN NGUYEN
Other Name MELISSA LAUREN GARCIA
Credential IDMT
Practice Address 5425 Mc Williams Dr.
Medical Aid Station Bldg 5425 Rm 104
San Antonio
TX 78257
Practice Telephone (210) 295-8336
Mailing Telephone 2102958336
Enumeration Date 2017-08-18
Last Update Date 2017-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
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Office Location

Street Address 5425 MC WILLIAMS DR.
MEDICAL AID STATION BLDG 5425 RM 104
City SAN ANTONIO
State TX
Zip Code 78257

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235737941 Barton Skinner Nurse Practitioner 17806 W I-10, Suite 300, San Antonio, TX 78257 2020-10-14
1639794464 Gabriel Ezequiel Cantu Behavior Technician 21727 I-10, Unit 108, San Antonio, TX 78257 2020-06-08
1588135719 Alejandro Daniel Perez Military Health Care Provider Wilderness Trl & Camp Bullis, San Antonio, TX 78257 2018-12-16
1386139434 Callie D Harris Nurse Practitioner 22135 I-10, San Antonio, TX 78257 2018-06-29
1902337165 Hania Alkudmani Dentist 24051 W Interstate 10, San Antonio, TX 78257 2017-03-21
1043767569 My Er Stcpr, Lp Clinic/Center 5431 North Loop 1604 West, San Antonio, TX 78257 2016-09-01
1649726381 Aaron Stares Physical Therapist 23127 Interstate Highway 10, Suite 203, San Antonio, TX 78257 2016-09-01
1457700023 Shelly Marquard Dietitian, Registered 22211 I-10 West, #1206, San Antonio, TX 78257 2016-06-06
1245695337 Ao Iom, Pllc Electrodiagnostic Medicine 17503 Lacantera Parkway Suite 104 # 422, San Antonio, TX 78257 2015-12-16
1629455613 Drwlc3 LLC Family Medicine 24200 Ih-10 West, Suite107, Sa, TX 78257 2015-04-29
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407453145 Ian Frogley Military Health Care Provider Jbsa 2230 Hughes Ave, San Antonio, TX 78236-8404 2020-10-06
1861099939 Andrew Goebel Military Health Care Provider 1800 Truemper St, San Antonio, TX 78236-5510 2020-10-02
1376169086 Colton Wayne Dickens Military Health Care Provider 5415 N Foster Rd Apt 8306, San Antonio, TX 78244-2405 2020-06-18
1588135719 Alejandro Daniel Perez Military Health Care Provider Wilderness Trl & Camp Bullis, San Antonio, TX 78257 2018-12-16
1861969271 Jose A Sanchez Military Health Care Provider 15425 Bobwhite Quail, San Antonio, TX 78253-6621 2018-10-24
1205303617 Sean Patrick Kearns Military Health Care Provider 1980 Horal St Apt 1218, San Antonio, TX 78227-3939 2018-10-24
1730663477 Glen Snyder Military Health Care Provider 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 2018-09-19
1265919336 Ashley Elizabeth Malawey Military Health Care Provider 3222 Cpl Johnson Road, San Antonio, TX 78234 2018-07-23
1083191159 Chance Daren Riley Military Health Care Provider 8838 Dugas Dr Apt 2202, San Antonio, TX 78251-4518 2018-07-23
1235622333 Melanie Edith Rivera Military Health Care Provider 3600 Roger Brooke Drive, San Antonio, TX 78234 2018-06-13
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Competitor

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City SAN ANTONIO
Zip Code 78257

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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