59th Mdw-Whasc-Lackland
NPI #1275511776 in Lackland a F B, Texas
Provider Information
- NPI Number
- 1275511776
- Entity Type
- Organization
- Organization Name
- 59th Mdw-Whasc-Lackland
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 59TH MDW-WHASC-LACKLAND
- Primary Specialty
- Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure
- Enumeration Date
- Jan 4, 2006
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 2200 BERGQUIST DR
- Address 2
- SUITE 1 ADBS
- City
- Lackland a F B
- State
- Texas
- ZIP Code
- 78236-9907
- Phone
- (210) 292-7575
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Craig Eugene Jordan, PH.D. | |
| DR. Craig J Christenson, D.P.M. | |
| DR. John William Hultquist, DMD, MD | |
| DR. Monty Timothy Baker, PH.D. |
Organizations
| Provider Name | |
|---|---|
| Naval Health Clinic Corpus Christi |
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