Provider First Line Business Practice Location Address:
BATALLION AVENUE AND 761ST TANK BATALLION
Provider Second Line Business Practice Location Address:
BLDG 420 BENNETT HEALTH CLINIC
Provider Business Practice Location Address City Name:
FORT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-618-8039
Provider Business Practice Location Address Fax Number:
254-618-8099
Provider Enumeration Date:
11/07/2006