| NPI | 1003012576 |
|---|---|
| Doing Business As | USADC FT. BLISS WBAMC |
| Entity Type | Organization |
| Authorized Contact | JOSE CRUZ-MELENDEZ Ubo Manager 915-742-8291 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-01-07 |