| NPI | 1548693526 | 
|---|---|
| Doing Business As | TAYLOR BURK H C-BAMC-BULLIS | 
| Entity Type | Organization | 
| Authorized Contact | CHARON MONIQUE SEYMORE Ubo 210-916-8563  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient | 
| Enumeration Date | 2013-08-14 | 
| Last Update Date | 2025-06-30 |