| NPI | 1043416878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JUSTIN HAGGERTY Ortho Resident 210-292-5875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: IN 01060712A) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |