NPI 1063216570
Amanda Haley Fortin, MD
Practice location
- Address
- Brooke Army Medical Center, McHe-Mdx 3551 Roger Brooke Dri., Jbsa-Fort Sam Houston, San Antonio, TX 78234-4504
- Phone
- (210) 916-5000
Registered specialties
Military Health Care Provider
Primary
Registry record
- NPI
- 1063216570
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Apr 2025
- Record last updated
- 3 Apr 2025
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.