Provider First Line Business Practice Location Address:
BROOKE ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
3551 ROGER BROOKE DR. JBSA
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-916-3808
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2015