Jared Mckean Theler in Fort Sam Houston - Facial Plastic Surgery
Jared Mckean Theler - NPI 1881803450
Jared Mckean Theler is a Facial Plastic Surgery in Fort Sam Houston, Texas. Jared Mckean Theler practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Jared Mckean Theler is 1881803450. The last update date is 2013-09-26.
Jared Mckean Theler's current location address is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2109162367 and fax number 2109161247. The mailing address for Jared Mckean Theler is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jared Mckean Theler |
|---|---|
| Address | 3851 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2109162367 |
| Fax Number | 2109161247 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881803450 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2013-09-26 |
Provider Mailing Address Detail
| Address | 3851 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344501 |
| Phone Number | 2109162367 |
| Fax Number | 2109161247 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | 45906 |
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Definition: An otolaryngologist who specializes in facial plastic surgery. |
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What is the unique 10-digit identification code issued to Jared Mckean Theler by the Centers for Medicare & Medicaid Services?
The Jared Mckean Theler has been assigned the NPI (National Provider Identifier) 1881803450 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jared Mckean Theler?
The Jared Mckean Theler is physically situated at 3851 Roger Brooke Dr, in the city of Fort Sam Houston, state of TX, with the postal code 782344501.
What is Jared Mckean Theler's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jared Mckean Theler is Facial Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Ys0123X.
On what date did Jared Mckean Theler receive its 1881803450 assignment from the Centers for Medicare & Medicaid Services?
The Jared Mckean Theler was assigned its 1881803450 on 2007-05-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jared Mckean Theler most recently updated?
The details pertaining to the Jared Mckean Theler, including its address, specialty, and other relevant information, were last refreshed on 2013-09-26.