OrganizationActive
17th Medical Group
NPI 1235490574 · Health Service Clinic/Center · Goodfellow Afb, TX
Provider details
- NPI number
- 1235490574
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- James Forrest, Colonel
Practice location
271 Fort Richardson Ave
Goodfellow Afb, TX 76908-4901
Phone: (325) 654-5238
Mailing address
1407 Gregory Dr
San Angelo, TX 76905-4213
Registry dates
- Enumerated
- 2012-06-04
- Last updated
- 2012-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.