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Organization
37TH MEDICAL GROUP
Active
Organization
37TH MEDICAL GROUP
Active
Parent organization
WILFORD HALL MEDICAL CENTER
Other names
37th Medical Group - Lackland
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILFORD HALL MEDICAL CENTER
Authorized official
SERENA LYNN HANSKEN (BUSINESS OFFICE PROGRAM MANAGER)
(703) 588-6419
Entity
Organization
Contact information
Practice address
2506 BIGGS AVENUE, BLDG. 2506, LACKLAND AFB, TX 78236-5511
(210) 671-9421
(210) 925-1127
Mailing address
2506 BIGGS AVENUE, BLDG. 2506, LACKLAND AFB, TX 78236-5511
(210) 671-9421
(210) 925-1127
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
NULL
Other
Enumeration date
04/17/2007
Last updated
11/15/2010
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