| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JUSTIN CARRANZA | 1487233458 | 2023-08-13 |
Justin Carranza is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487233458. Registration indicates Justin Carranza is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Justin Carranza MD |
| Practice Office Address | SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M INTERNAL MEDICINE RESIDENCY, 3551 ROGER BROOKE DR. JBSA-FORT SAM H, TX US |
| Practice Office Telephone | 2109165910 |
| Practice Office Fax | 2109162077 |
| Mailing Address | SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M INTERNAL MEDICINE RESIDENCY, 3551 ROGER BROOKE DR. JBSA-FORT SAM HOUSTON, TX 78234 US |
| Business Telephone | 2109165910 |
| Business Fax | 2109162077 |
| Code | Practice | License No State |
|---|---|---|
| 208D00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 0101276839
VA |