Provider First Line Business Practice Location Address:
BROOKE ARMY MEDICAL CENTER, MCHE-MDX, INTERNAL MEDICINE
Provider Second Line Business Practice Location Address:
RESIDENCY, 3551 ROGER BROOKE DR., JBSA-FORT SAM HOUSTON
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AA
Provider Business Practice Location Address Postal Code:
78234-4504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-292-3410
Provider Business Practice Location Address Fax Number:
210-292-7868
Provider Enumeration Date:
03/17/2026