Organization
DFASIN-ADIMB U.S. ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY A. FLORES (CREDENTIALS COORDINATOR)
(210) 916-5102
Entity
Organization
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-3249
Mailing address
8505 LEXINGTON DR, SEVERN, MD 21144-2729
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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