Organization
WILFORD HALL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA MARTHA CHAPA-WILSON PED NURSE PRACTITION (CYSTIC FIBROSIS/ASTHMA COORDINATOR)
(210) 292-7170
Entity
Organization
Contact information
Practice address
2200 BERGQUIST DR STE 1, LACKLAND A F B, TX 78236-9908
(210) 292-7170
(210) 292-7209
Mailing address
2200 BERGQUIST DR STE 1, LACKLAND A F B, TX 78236-9908
(210) 292-7170
(210) 292-7209
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
529878
TX
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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