Individual
DR. MACKENZIE REED JOYCE PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-EMR, 3551 ROGER BROOKE DR, JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 916-4789
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-4789
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207P00000X
Emergency Medicine Physician
Primary
0102208422
VA
208D00000X
General Practice Physician
0102208422
VA
Other
Enumeration date
05/02/2022
Last updated
11/30/2025
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