Individual
DR. IAN PRICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, RDCS
Contact information
Practice address
3551 ROGER BROOKE DR., MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY, JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 916-5910
(210) 916-2077
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102206468
VA
208D00000X
General Practice Physician
0102206468
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2019
Last updated
10/24/2023
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