Individual
NATHAN KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR, JBSA FORT SAM HOUSTON, TX 78234
(443) 472-5506
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101288071
VA
Other
Enumeration date
04/04/2024
Last updated
01/08/2026
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