Individual
PHILLIP JACOB TREXEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(210) 292-5972
Mailing address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
03/28/2025
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