Provider First Line Business Practice Location Address:
NAVY MEDICINE TRAINING SUPPORT COMMAND/NDAC
Provider Second Line Business Practice Location Address:
2931 HARNEY PATH RD.
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-808-2191
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2005