Provider First Line Business Practice Location Address:
BROOKE ARMY MEDICAL CENTER 3551 ROGER BROOKE DR. JBSA
Provider Second Line Business Practice Location Address:
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:
78234-4504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-916-0808
Provider Business Practice Location Address Fax Number:
210-916-6654
Provider Enumeration Date:
04/14/2022