Individual
ARIES BASULTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(920) 600-7739
Mailing address
1205 EXCEL DR, KILLEEN, TX 76542-5837
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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