| NPI | 1073719225 |
|---|---|
| Doing Business As | USADC FAIRBANK-HOOD |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ROPPLE Lead Health Insurance Technician 254-288-8381 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2018-07-17 |