# U.S. AIR FORCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043416878
- **Authorized official:** DR. CHARLES JUSTIN HAGGERTY M.D. (ORTHO RESIDENT)
- **Authorized official phone:** (210) 292-5875

## Contact information

- **Practice address:** WHMC GE 2200 BERGQUIST DR STE 1, LACKLAND AFB, SAN ANTONIO, TX 78236-5300
- **Practice address phone:** (210) 292-5875
- **Practice address fax:** (210) 292-5844
- **Mailing address:** 13807 RIVERBANK PASS, HELOTES, TX 78023-3638
- **Mailing address phone:** (210) 292-5875
- **Mailing address fax:** (210) 292-5844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 01060712A | IN | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 08/22/2020