DR. JARED DADDARIO DO NPI 1457050171

NPI Information

NPI: 1457050171
Provider Name: DR. JARED DADDARIO, DO
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
3551 ROGER BROOKE DR
SAMMC, MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY
JBSA-FORT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 292-7805
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DR. Jared Daddario, DO is a military health care provider in Jbsa-fort Sam Houston, TX. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. DR. Jared Daddario, DO NPI is 1457050171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3551 ROGER BROOKE DR
SAMMC, MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY
JBSA-FORT SAM HOUSTON, TX
ZIP 78234-504
Phone: (210) 292-7805
Fax: (210) 292-7868

The enumeration date for this NPI number is 3/2/2023 and was last updated on 8/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171000000X	Military Health Care Provider				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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