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Individual

DR. IAN CHRISTOPHER MCINNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3551 ROGER BROOKE DR, PULMONARY DISEASE CLINIC, JBSA-FSH, TX 78234
(210) 916-2153
(210) 916-0709
Mailing address
3551 ROGER BROOKE DR., SAN ANTONIO MILITARY MED CENTER, PULMONARY FELLOWSHIP, JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 916-5412
(210) 916-0709

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1290
NE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1290
NE
207RP1001X
Pulmonary Disease Physician
Primary
1290
NE

Other

Enumeration date
06/19/2013
Last updated
04/26/2021
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