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Organization
7TH MEDGRP-DYESS
Active
Organization
7TH MEDGRP-DYESS
Active
Parent organization
7TH MEDGRP-DYESS
Other names
Dyess AFB MTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
7TH MEDGRP-DYESS
Authorized official
JEN LEWANDOWSKI (DHA UBO)
(703) 817-4030
Entity
Organization
Contact information
Practice address
697 LOUISIANA DR, SUITE 1C5, DYESS AFB, TX 79607-1367
(325) 696-4712
Mailing address
697 LOUISIANA DR, SUITE 1C5, DYESS AFB, TX 79607-1367
(325) 696-4712
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
NULL
332000000X
Military/U.S. Coast Guard Pharmacy
—
NULL
Other
Enumeration date
01/24/2006
Last updated
09/22/2026
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