| NPI | 1982760583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MAURA MEDINA Substance Abuse Counselor 254-285-6296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: TX 10029) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: TX 61677) |
| 286500000X Military Hospital (Licence: TX 201013) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |