RANDALL MILLS


Address: 3551 Roger Brooke Dr, Mche-zhg (gme), Brooke Army Medical Center, Fort Sam Houston, TX 78234-4504
Phone: 2105396402

RANDALL MILLS (NPI# 1225581044) 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) 1225581044
Entity Type Individual
Full Name RANDALL MILLS
Practice Address 3551 Roger Brooke Dr, Mche-zhg (gme)
Brooke Army Medical Center
Fort Sam Houston
TX 78234-4504
Practice Telephone 2105396402
Mailing Telephone 2105396402
Enumeration Date 2016-07-28
Last Update Date 2016-07-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program P010420 NC Student, Health Care

Other Providers RANDALL MILLS

NPI Name Taxonomy Address Enumeration
1164973798 Randall Mills Physician Assistant 1210 W 5th St, London, KY 40741-2112 2016-10-19

Office Location

Street Address 3551 ROGER BROOKE DR, MCHE-ZHG (GME)
BROOKE ARMY MEDICAL CENTER
City FORT SAM HOUSTON
State TX
Zip Code 78234-4504

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255942884 Thomas Ballas Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 2020-08-17
1124657366 Wendy Harris Pharmacist 3041 Garden Ave, Fort Sam Houston, TX 78234 2020-04-08
1215564729 Travis Frantz Student in an Organized Health Care Education/Training Program 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 2020-03-25
1508492695 Matthew Grossmann Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 2020-03-20
1235793407 Jessica Maria May Franklin Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 2019-04-23
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
1053805515 Rene Espinosa Social Worker San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 2018-06-19
1235622333 Melanie Edith Rivera Military Health Care Provider 3600 Roger Brooke Drive, San Antonio, TX 78234 2018-06-13
1063909158 Benjamin Walker Appelo General Practice San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 2018-04-16
Find all providers in zip 78234

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912535378 Casey Joseph Lockett Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center Mche-mdx, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2020-03-31
1699302745 Christian Cavacece Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Im Residency, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234-7805 2020-03-26
1386270783 Cody Franklin Newell Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-emr, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2020-03-17
1477189108 Brady Todd Olsen Student in an Organized Health Care Education/Training Program Sammc Dept of Medicine, Mche-mdx, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234-4504 2020-03-13
1457761876 Lauren Rice Student in an Organized Health Care Education/Training Program Bamc-3851 Roger Brooke Drive, Mche-qd (creda), Fort Sam Houston, TX 78234-6300 2014-05-07
1235488495 Michael Alan Dawson Jr. Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 2012-09-04
1346512860 Adrian R. Johnson Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive, Bldg 3528r, Mche-dbm, Fort Sam Houston, TX 78234-6200 2012-01-30
1700064359 Vivian Josephine Caraveo Student in an Organized Health Care Education/Training Program 3851roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-6200 2008-02-06
1063028306 Jacob B Barack Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive, Department of Behavioral Medicine- Mche-dbm, Fort Sam Houston, TX 78234-4504 2020-09-22
1538775739 Estefany Elizabeth Villalobos Student in an Organized Health Care Education/Training Program Usaisr Burn Center, Burn Rehabilitation Services, 3698 Chambers Pass, Building, 3611, Fort Sam Houston, TX 78234-4504 2020-09-22
Find all providers in FORT SAM HOUSTON

Competitor

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City FORT SAM HOUSTON
Zip Code 78234

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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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