Provider First Line Business Practice Location Address:
3851 ROGER BROOKE DR
Provider Second Line Business Practice Location Address:
BROOKE ARMY MEDICAL CENTER/DEPARTMENT OF GYN ONCOLOGY
Provider Business Practice Location Address City Name:
FT SAM HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-916-3170
Provider Business Practice Location Address Fax Number:
210-916-1021
Provider Enumeration Date:
07/11/2011