Provider First Line Business Practice Location Address:
36000 DARNALL LOOP
Provider Second Line Business Practice Location Address:
CARL R. DARNALL ARMY MEDICAL CENTER ATTN: DSW
Provider Business Practice Location Address City Name:
FT. HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544-4752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-288-6474
Provider Business Practice Location Address Fax Number:
254-288-3281
Provider Enumeration Date:
12/27/2007