Samuel Carlon Light
NPI #1275390544 in Jbsa Ft Sam Houston, Texas
Provider Information
- NPI Number
- 1275390544
- Entity Type
- Individual
- Name
- Samuel Carlon Light
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- Mar 4, 2024
- Last Updated
- Mar 4, 2024
Practice Location
- Address
- 3551 ROGER BROOKE DR
- State
- Texas
- ZIP Code
- 78234-4504
- Phone
- (210) 292-3410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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