US Army
NPI #1366423741 in Lackland a F B, Texas
Provider Information
- NPI Number
- 1366423741
- Entity Type
- Organization
- Organization Name
- US Army
- Primary Specialty
- Military Hospital
- Enumeration Date
- Nov 11, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2200 BERGQUIST DR
- City
- Lackland a F B
- State
- Texas
- ZIP Code
- 78236-9907
- Phone
- (210) 292-0427
Authorized Official
- Name
- TED CIESLACK, MD
- Title
- CHIEF PEDIATRICS
- Phone
- (210) 916-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Hospital |
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