Organization
U.S. AIR FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JUSTIN HAGGERTY M.D. (ORTHO RESIDENT)
(210) 292-5875
Entity
Organization
Contact information
Practice address
WHMC GE 2200 BERGQUIST DR STE 1, LACKLAND AFB, SAN ANTONIO, TX 78236-5300
(210) 292-5875
(210) 292-5844
Mailing address
13807 RIVERBANK PASS, HELOTES, TX 78023-3638
(210) 292-5875
(210) 292-5844
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
01060712A
IN
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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