Michael Tiller in San Antonio - Military Health Care Provider
Michael Tiller - NPI 1356306658
Michael Tiller is a Military Health Care Provider in San Antonio, Texas. Michael Tiller practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Michael Tiller is 1356306658. The last update date is 2020-04-13.
Michael Tiller's current location address is 117 E Lullwood Ave, San Antonio, Texas. You can contact this provider via phone number 2024252103. The mailing address for Michael Tiller is 117 E Lullwood Ave, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Tiller |
|---|---|
| Address | 117 E Lullwood Ave, San Antonio, Texas |
| Phone Number | 2024252103 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356306658 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2020-04-13 |
Provider Mailing Address Detail
| Address | 117 E Lullwood Ave |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782122317 |
| Phone Number | 2024252103 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | 4301075583 |
|
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1356306658 | DC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael Tiller by the Centers for Medicare & Medicaid Services?
The Michael Tiller has been assigned the NPI (National Provider Identifier) 1356306658 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Michael Tiller?
The Michael Tiller is situated at 117 E Lullwood Ave, in the city of San Antonio, state of TX, with the zip code 782122317.
What is the area of specialization for Michael Tiller, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Tiller is Military Health Care Provider, and the corresponding taxonomy code that categorizes this area of expertise is 171000000X.
On what date was the 1356306658 assigned to Michael Tiller?
The Michael Tiller was issued its 1356306658 on 2006-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Michael Tiller last refreshed?
The information related to the Michael Tiller, including its address, specialty, and other relevant details, was last updated on 2020-04-13.