CHRISTIAN IM
NPI 1184412397
Military Health Care Provider in Jbsa Ft Sam Houston, TX
- Individual
- Male
- Military Health Care Provider
About CHRISTIAN IM
This page provides the complete NPI Profile along with additional information for Christian Im, a provider established in Jbsa Ft Sam Houston, Texas with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1184412397 assigned on April 2025. The practitioner's primary taxonomy code is 171000000X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1184412397 Verify this NPI
- Provider Name
- CHRISTIAN IM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3551 ROGER BROOKE DR JBSA FT SAM HOUSTON, TX 78234
- Location Phone
- (210) 292-3410
- Mailing Address
- 3551 ROGER BROOKE DR JBSA FT SAM HOUSTON, TX 78234
- Mailing Phone
- (210) 292-3410
- Mailing Fax
- (210) 292-7868
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-28-2025
- Last Update Date
- 04-28-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184412397, enumerated as an "individual" on April 28, 2025.
The provider is located at 3551 ROGER BROOKE DR JBSA FT SAM HOUSTON, TX 78234 and the phone number is (210) 292-3410.
Military Health Care Provider with taxonomy code 171000000X.
