Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

COLLEEN DAUGHERTY
NPI 1659359412
Military Health Care Provider in Sheppard Afb, TX

Q: What is the provider's specialty?

The provider's specialty is Military Health Care Provider with taxonomy code 171000000X.

Active since January 03, 2006

149 HART ST, 82 MEDICAL GROUP/CREDENTIALS, SHEPPARD AFB, TX 76311(940) 676-6960 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Colleen Daugherty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN DAUGHERTY (NPI 1659359412) is an individual military health care provider provider in Sheppard Afb, Texas, licensed in Florida (OT3334) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1659359412

Entity TypeIndividualFemale

Primary Taxonomy171000000X

Provider Legal NameCOLLEEN DAUGHERTY

Location Address149 HART ST, 82 MEDICAL GROUP/CREDENTIALSSheppard Afb, TX 76311-3477

Mailing Address3509 Copperas CvWichita Falls, TX 76310-1121 · (940) 692-5446

Phone(940) 676-6960

Sole ProprietorNo

Enumeration DateJanuary 3, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1659359412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

License✔ Licensed in FL · OT3334

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

149 HART ST, Sheppard Afb, TX 76311

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