Organization
WILFORD HALL AMBULATORY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELBY KUHN PHARMD (PHARMACIST)
(201) 292-8409
Entity
Organization
Contact information
Practice address
2200 BERGQUIST DR STE 1, JBSA LACKLAND, TX 78236-9908
(210) 292-8409
Mailing address
2200 BERGQUIST DR STE 1, JBSA LACKLAND, TX 78236-9908
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7035112-1701
UT
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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