Individual
BRIAN MICHAEL WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 BERGQUIST DRIVE, WILFORD HALL MEDICAL CENTER, LACKLAND AFB, TX 78236-5300
(210) 292-7361
Mailing address
8722 MELROSE, SAN ANTONIO, TX 78250
(210) 410-9757
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49112
WI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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