# DFASIN-ADIMB U.S. ARMY

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

## Provider details

- **NPI number:** 1215057641
- **Authorized official:** MRS. DOROTHY A. FLORES (CREDENTIALS COORDINATOR)
- **Authorized official phone:** (210) 916-5102

## Contact information

- **Practice address:** 3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
- **Practice address phone:** (210) 916-3249
- **Mailing address:** 8505 LEXINGTON DR, SEVERN, MD 21144-2729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/22/2020