Provider First Line Business Practice Location Address:
2484 STANLEY ROAD, SUITE 91, BLDG 2236
Provider Second Line Business Practice Location Address:
DEFENSE MEDICAL READINESS TRAINING INSTITUTE
Provider Business Practice Location Address City Name:
FORT 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:
210-221-2108
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2006