# SAN ANTONIO MILITARY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Behavioral Medicine-Neuropsychology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225370711
- **Authorized official:** ETHEL MORGAN (CREDENTIALS COORDINATOR)
- **Authorized official phone:** (210) 916-3710

## Contact information

- **Practice address:** 3851 ROGER BROOKE DR, MCHE-QD (CREDS),, FORT SAM HOUSTON, TX 78234-4501
- **Practice address phone:** (210) 916-3710
- **Practice address fax:** (210) 916-5102
- **Mailing address:** 3851 ROGER BROOKE DR, MCHE-QD (CREDS),, FORT SAM HOUSTON, TX 78234-4501
- **Mailing address phone:** (210) 916-3710
- **Mailing address fax:** (210) 916-5102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 35165 | TX | Yes |

## Other

- **Enumeration date:** 03/22/2013
- **Last updated:** 03/22/2013