Individual
DR. KEVIN EDWARD SCHLICKSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 MEDICAL CENTER RD., CARL R. DARNALL ARMY MEDICAL CENTER, DEM, FORT CAVAZOS, TX 76544-5060
(254) 553-1371
Mailing address
590 MEDICAL CENTER RD., CARL R. DARNALL ARMY MEDICAL CENTER, DEM, FORT CAVAZOS, TX 76544-5060
(254) 553-1371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P4245
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
P4245
TX
Other
Enumeration date
06/16/2009
Last updated
02/03/2025
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