Provider First Line Business Practice Location Address:
31ST STAND BATTALION
Provider Second Line Business Practice Location Address:
BENNETT HEALTH CLINIC BLD 420
Provider Business Practice Location Address City Name:
FT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-618-8040
Provider Business Practice Location Address Fax Number:
254-618-8099
Provider Enumeration Date:
11/24/2006