Salvatore Bertucci
General Practice Physician
36000 Darnall Loop
Fort Hood
, Texas 76544-5095
Salvatore Bertucci
General Practice Physician
36000 Darnall Loop
Fort Hood
, Texas 76544-5095
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Salvatore Bertucci
- 36000 Darnall Loop
- Fort Hood, TX
- Zip : 76544-5095
- Phone :
Second Address
- Salvatore Bertucci
- 36000 Darnall Loop
- Fort Hood, TX
- Zip : 76544-5095
- Phone : (254) 288-8234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 5101023685 | MI |
National Provider Identifier
| NPI | 1043693716 |
|---|---|
| Provider Name | Salvatore Bertucci |
| First Address | Fort Hood, TX 76544-5095 |
| Second Address | Fort Hood, TX 76544-5095 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2015 |
| Last Update Date | 13/02/2018 |
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.