| NPI | 1467852749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED K BALDWIN Medical Staff Services Professional 6713-449-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: FL SW 11642) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |