Individual
DR. JEFFREY S FAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 BERGQUIST DR STE 1, ATTN CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-7395
Mailing address
8010 FOXWOOD CHASE, SAN ANTONIO, TX 78254-2800
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
46069-020
WI
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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