Usaf
NPI #1861470957 in Lackland Afb, Texas
Provider Information
- NPI Number
- 1861470957
- Entity Type
- Organization
- Organization Name
- Usaf
- Primary Specialty
- Military Hospital
- Enumeration Date
- Jan 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2200 BERQUIST DRIVE
- Address 2
- SUITE 1
- City
- Lackland Afb
- State
- Texas
- ZIP Code
- 78236-5300
- Phone
- (210) 292-6393
Authorized Official
- Name
- DR. RANDALL JUDSON MCDANIEL, DMD
- Title
- DIRECTOR OF OROFACIAL PAIN
- Phone
- (210) 292-6393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Hospital |
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