Provider First Line Business Practice Location Address:
WILFORD HALL AMBULATORY SURGICAL CENTER
Provider Second Line Business Practice Location Address:
1100 WILFORD HALL LOOP, BLDG 4554
Provider Business Practice Location Address City Name:
JBSA LACKLAND AFB
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78236-5300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-916-8666
Provider Business Practice Location Address Fax Number:
210-916-8712
Provider Enumeration Date:
05/21/2019