# AMC BAMC-FSH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMC BAMC-FSH
- **Other names:** SAMMC-CENTER FOR THE INTREPID
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710310578
- **Legal business name:** AMC BAMC-FSH
- **Authorized official:** CHARON MONIQUE SEYMORE (UBO)
- **Authorized official phone:** (210) 916-8563

## Contact information

- **Practice address:** 3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
- **Practice address phone:** (210) 916-4682
- **Mailing address:** 3551 ROGER BROOKE DR APT 201, SAN ANTONIO, TX 78234-4513
- **Mailing address phone:** (210) 916-8558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2013
- **Last updated:** 06/30/2025