SAMUEL CARLON LIGHT

JBSA FT SAM HOUSTON, TX
NPI1275390544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2024-03-04
Last Update Date2024-03-04
Business Address
SAMUEL CARLON LIGHT
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-292-3410
Mailing Address
SAMUEL CARLON LIGHT
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-292-3410
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