Organization
AMC BAMC-FSH
Active
Parent organization
AMC BAMC-FSH
Other names
CPT JENNIFER M MORENO PCC-JBSA
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMC BAMC-FSH
Authorized official
CHARON MONIQUE SEYMORE (UBO)
(210) 916-8563
Entity
Organization
Contact information
Practice address
3100 SCHOFIELD RD, MCHE-CMH BLDG 1179, FORT SAM HOUSTON, TX 78234-7577
(210) 808-2465
Mailing address
3851 ROGER BROOKE DR, MCHE-COU-T DEPT 201, FORT SAM HOUSTON, TX 78234-4501
(210) 916-8558
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
06/30/2025
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