Organization
WILFORD HALL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILI MARLAINE MARTINEZ APN (STAFF CRNA)
(210) 292-7325
Entity
Organization
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 78236-9907
(210) 292-7325
Mailing address
2547 CRESTED HTS, SCHERTZ, TX 78154-2661
(210) 380-7286
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
321847
OH
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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