Individual
CHHOUEN PRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(603) 504-4738
Mailing address
BROOKE ARMY MEDICAL CENTER, MCHE-MDX,INTERNAL MEDICINE, 3551 ROGER BROOKE DR, JBSA-FORT SAM HOUSTON, TX 78234
(603) 504-4738
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
04/23/2024
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