Provider First Line Business Practice Location Address:
3698 CHAMBERS PASS BLDG 3611
Provider Second Line Business Practice Location Address:
US ARMY INSTITUTE OF SURGICAL RESEARCH
Provider Business Practice Location Address City Name:
JBSA FT SAM HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78234-7766
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-636-4424
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/23/2016