NPI 1861467193

Wilford Hall Medical Center

Organisation Military Hospital Lackland a F B, TX

Practice location

Address: 2200 Bergquist Dr Attn: Credentials (cmc), Lackland a F B, TX 78236-9907
Phone: (210) 292-6707
Fax: (210) 292-7964
Mailing address: 9911 Stonefield Pl, San Antonio, TX 78254-6749

Authorised official

Name: Darlene Jackson
Title: Credentials Manager
Phone: (210) 292-6707

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence 40761 (TX)

Other Military Hospital providers in Texas →

Registry record

NPI: 1861467193
Entity type: Organization
NPI issued: 21 Feb 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.