Michienzi, Matthew Ryan
Michienzi, Matthew Ryan is an individual health care provider with primary practice located at Brooke Army Medical Center Pediatrics 3551 Roger Brooke Dr., Jbsa-Fort Sam Houston TX 78234. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Michienzi, Matthew Ryan can be contacted via phone (210) 916-9928.Contact Information
Primary practice address
Brooke Army Medical Center Pediatrics 3551 Roger Brooke Dr.
Jbsa-Fort Sam Houston TX 78234
Phone: (210) 916-9928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1699423459 |
|---|---|
| LBN Legal business name | Michienzi, Matthew Ryan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2022 |
| Last updated | Aug 21st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Kohout, Cody Lee
3551 Roger Brooke Dr. Sammc, Mche-Zdm-M, Internal Medicine Residency, Jbsa-Fort Sam Houston TX 78234-4504 -
Ryden, Niels August
3551 Roger Brooke Dr. Mche-Zdm-M, Internal Medicine Residency, Jbsa-Fort Sam Houston TX 78234-4504 -
Caldwell, Thomas Sullivan
3551 Roger Brooke Dr Sammc, Mche-Emr, Jbsa - Fort Sam Houston TX 78234-4504 -
Smith, Wyatt Alexander Rivas
San Antonio Military Medical Center, Mche-Zso Orthopaed 3551 Roger Brooke Dr, Jbsa-Fort Sam Houston TX 78234-4504 -
Colthorpe, William Henry
3551 Roger Brooke Drive Sammc, Mche-Zde-M, Internal Medicine Residency, Jbsa-Fort Sam Houston TX 78234-4504 -
Yerich, Nadiya Volodymyrivna
San Antonio Military Center, Mche-Zso Orthopaedic Residency, 3551 Roger Brooke Dr., Jbsa-Fort Sam Houston TX 78234-4504 -
Davalos, Anna Bridges
3551 Roger Brooke Dr , Jbsa Fort Sam Houston TX 78234 -
Williams, Alexander
3551 Roger Brooke Dr. , Jbsa-Fort Sam Houston TX 78234-4504