NPI 1912968595

Wilford Hall Medical Center

Organisation Military Hospital Lackland a F B, TX

Practice location

Address: 2200 Bergquist Dr Suite 1 Attn: Credentials Cmc, Lackland a F B, TX 78236-9907
Phone: (210) 292-6707
Fax: (210) 292-7964
Mailing address: 2200 Bergquist Dr Suite 1, Lackland a F B, TX 78236-9907

Authorised official

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

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence MD057195L (PA)

Other Military Hospital providers in Texas →

Registry record

NPI: 1912968595
Entity type: Organization
NPI issued: 31 Mar 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.