Individual
CHRISTOPHER SHAWN COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
718 I AVE 82 MSS/DPF, BLDG 1900 DEPT XUFB, SHEPPARD AFB, TX 76311
(940) 676-3818
Mailing address
718 I AVE 82 MSS/DPF, BLDG 1900 DEPT XUFB, SHEPPARD AFB, TX 76311
(940) 676-3818
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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