IndividualActive
Teresa Micotto, M.D.
NPI 1932580388 · Aerospace Medicine Physician · Jbsa Lackland, TX
Provider details
- NPI number
- 1932580388
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 29639 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
1100 Wilford Hall Loop
Attn: 59 Mdw/Sghc
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-9556
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Registry dates
- Enumerated
- 2015-06-11
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.