Provider Demographics
NPI:1467680801
Name:HIMES, CURTIS A (DO)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:A
Last Name:HIMES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 100250 BOX 1
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96632-5000
Mailing Address - Country:US
Mailing Address - Phone:619-545-2114
Mailing Address - Fax:
Practice Address - Street 1:UNIT 100250 BOX 1
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96632-5000
Practice Address - Country:US
Practice Address - Phone:619-545-2114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO1152171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider