Individual
LOC LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT HOOD, TX 76544
(254) 288-6474
Mailing address
590 MEDICAL CENTER ROAD, FORT HOOD, TX 76544
(254) 288-6474
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP128830
TX
Other
Enumeration date
11/19/2015
Last updated
02/23/2026
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