Provider First Line Business Practice Location Address: 
CARL R. DARNALL ARMY MEDICAL CENTER
    Provider Second Line Business Practice Location Address: 
590 MEDICAL CENTER ROAD
    Provider Business Practice Location Address City Name: 
FT HOOD
    Provider Business Practice Location Address State Name: 
TX
    Provider Business Practice Location Address Postal Code: 
76544-5060
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
254-288-8888
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
07/18/2010