Colin Michael Dunderdale in Fort Sam Houston - Physician Assistant
Colin Michael Dunderdale - NPI 1235223975
Colin Michael Dunderdale is a Physician Assistant in Fort Sam Houston, Texas. Colin Michael Dunderdale practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Colin Michael Dunderdale is 1235223975. The last update date is 2023-01-17.
Colin Michael Dunderdale's current location address is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2105399582. The mailing address for Colin Michael Dunderdale is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colin Michael Dunderdale |
|---|---|
| Address | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2105399582 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1235223975 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2023-01-17 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344504 |
| Phone Number | 2105399582 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1057638 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350463101 | TX | -- | |
| 350463102 | TX | CSHCN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Colin Michael Dunderdale?
The Colin Michael Dunderdale has been issued the NPI (National Provider Identifier) 1235223975 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Colin Michael Dunderdale's physical address?
The Colin Michael Dunderdale is physically located at 3551 Roger Brooke Dr, in the city of Fort Sam Houston, TX, with the postal code 782344504.
What is Colin Michael Dunderdale's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Colin Michael Dunderdale is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date was the 1235223975 assigned to Colin Michael Dunderdale?
The Colin Michael Dunderdale was issued its 1235223975 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Colin Michael Dunderdale, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Colin Michael Dunderdale, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-01-17.