IndividualActive
John Gallik, IDMT
NPI 1861018178 · Independent Duty Medical Technicians · Jbsa Fort Sam Houston, TX
Provider details
- NPI number
- 1861018178
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
3176 Corporal Johnson Road
Jbsa Fort Sam Houston, TX 33809
Phone: (540) 220-0056
Approximate (ZIP-level) locationGet directions
Mailing address
6858 Ashbury Dr
Lakeland, FL 33809-7821
Registry dates
- Enumerated
- 2020-06-23
- Last updated
- 2020-06-23
- Certified
- 2020-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.