# WILFORD HALL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1144323650
- **Authorized official:** DARLON JACKSON (CREDENTIAL MANAGER)
- **Authorized official phone:** (210) 292-6707

## Contact information

- **Practice address:** 18200 BLANCO SPGS APT 112, SAN ANTONIO, TX 78258-4562
- **Practice address phone:** (559) 731-6195
- **Mailing address:** 2200 BERQUIST DRIVE, SUITE 1, ATTN: CREDENTIALS (CMC), LACKLAND AFB, TX 78236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 08/22/2020