# BAMC

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

## Provider details

- **NPI number:** 1194031583
- **Authorized official:** RAMONA MONTGOMERY (CHIEF, CREDENTIALS SERVICE)
- **Authorized official phone:** (210) 916-2460

## Contact information

- **Practice address:** 3851 ROGER BROOKE DR., BAMC-MCHEQD (CREDS), FORT SAM HOUSTON, TX 78218-6200
- **Practice address phone:** (210) 916-2460
- **Mailing address:** 3851 ROGER BROOKE DR., BAMC-MCHEQD (CREDS), FORT SAM HOUSTON, TX 78218-6200
- **Mailing address phone:** (210) 916-2460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 390200000X | TX | Yes |

## Other

- **Enumeration date:** 08/24/2010
- **Last updated:** 08/24/2010