DOMINIC BRACERO

JBSA LACKLAND, ZZ
NPI1982235388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TX  U9215)
Additional Taxonomies207R00000X Internal Medicine
(Licence: VA  0101274713)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-02-04
Last Update Date2024-07-02
Business Address
DOMINIC BRACERO MD
1100 WILFORD HALL LOOP
JBSA LACKLAND, ZZ
Phone number: 210-292-7805
Mailing Address
DOMINIC BRACERO MD
1100 WILFORD HALL LOOP
JBSA LACKLAND, ZZ
Phone number: 210-298-2483