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, 59 MDW/GME
Provider Business Practice Location Address City Name:
JBSA LACKLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78236-9908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-402-6355
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2021