Individual
BRUCE ALLEN OKSOL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 BERGQUIST DRIVE, SUITE 1, WILFORD HALL - ATTN: CREDENTIALS (CMC), LACKLAND AFB, TX 78236-5300
(210) 292-2626
Mailing address
384 TREELINE PARK, 712, SAN ANTONIO, TX 78209-1857
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4470
ND
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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