Provider First Line Business Practice Location Address:
SAN ANTONIO MILITARY MEDICAL CENTER, , MCHE-ZDM-M
Provider Second Line Business Practice Location Address:
INTERNAL MEDICINE RESIDENCY, 3551 ROGER BROOKE DR.
Provider Business Practice Location Address City Name:
JBSA-FORT SAM HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78234-4504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-916-5910
Provider Business Practice Location Address Fax Number:
210-916-2077
Provider Enumeration Date:
04/03/2018