Dr. Halward Blegen IV
General Practice Physician
3551 Roger Brooke Dr
Jbsa Fort Sam Houston
, Texas 78234
Dr. Halward Blegen IV
General Practice Physician
3551 Roger Brooke Dr
Jbsa Fort Sam Houston
, Texas 78234
(210) 220-7419
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Halward Blegen IV
- 3551 Roger Brooke Dr
- Jbsa Fort Sam Houston, TX
- Zip : 78234
- Phone : (210) 220-7419
Second Address
- Dr. Halward Blegen IV
- 3551 Roger Brooke Dr
- Jbsa Fort Sam Houston, TX
- Zip : 78234
- Phone : (210) 220-7419
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 02005951A | IN |
National Provider Identifier
| NPI | 1003318569 |
|---|---|
| Provider Name | Dr. Halward Blegen IV |
| First Address | Jbsa Fort Sam Houston, TX 78234 |
| Second Address | Jbsa Fort Sam Houston, TX 78234 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2018 |
| Last Update Date | 25/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.