Organization Name: | DFASIN-ADIMB U.S. ARMY |
NPI Number: | 1215057641 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOROTHY A. FLORES (CREDENTIALS COORDINATOR) |
Mailing Address: | 3851 Roger Brooke Dr Fort Sam Houston |
State: | TX US |
Postal Code: | 782344501 |
Phone Number: | 2109163249 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |