59TH MDW-WHASC-LACKLAND

NPI # 

Practice Address:

2200 Bergquist Dr , Suite 1 Adbs

Lackland A F B, TX, 78236-9907

Practice Phone:

210-292-7575

Practice Fax:

210-292-2592

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Military/U.S. Coast Guard Outpatient

Taxonomy Code:

261QM1100X