Organization
WILFORD HALL MEDICAL CENTER
Active
Organization
WILFORD HALL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLON JACKSON (CREDENTIAL MANAGER)
(210) 292-6707
Entity
Organization
Contact information
Practice address
18200 BLANCO SPGS APT 112, SAN ANTONIO, TX 78258-4562
(559) 731-6195
Mailing address
2200 BERQUIST DRIVE, SUITE 1, ATTN: CREDENTIALS (CMC), LACKLAND AFB, TX 78236
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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