Individual
ASHLEY NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3765
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6769
(602) 406-3860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
49254
AZ
208600000X
Surgery Physician
Primary
S4034
TX
2086S0102X
Surgical Critical Care Physician
S4034
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
938555
—
AZ
Enumeration date
05/25/2007
Last updated
03/06/2025
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