Provider First Line Business Practice Location Address:
3551 ROGER BROOKE DR
Provider Second Line Business Practice Location Address:
DEPARTMENT OF BEHAVIORAL MEDICINE-MCHE-DBM
Provider Business Practice Location Address City Name:
FORT SAM HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78234-4504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-539-6150
Provider Business Practice Location Address Fax Number:
210-539-6150
Provider Enumeration Date:
04/20/2017