NPI 1346654175
17th Medgrp-Goodfellow
Practice location
- Address
- 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901
- Phone
- (325) 654-3101
- Fax
- (325) 654-5898
- Mailing address
- 17 Medical Group 271 Fort Richardson Ave., Goodfellow Afb, TX 76908
Authorised official
- Name
- Hector Morales
- Title
- Chief Dha Pass
- Phone
- (210) 536-6650
Registered specialties
Military/U.S. Coast Guard Pharmacy
Primary
Registry record
- NPI
- 1346654175
- Entity type
- Organization
- NPI issued
- 19 Jun 2014
- Record last updated
- 13 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.