MEDICARE: AMC BAMC-FSH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1100X	Military/U.S. Coast Guard Outpatient Clinic/Center

General Provider Information

NPI Number	:	1548693526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMC BAMC-FSH

Provider Business Mailing Address
First Line	:	3551 ROGER BROOKE DR
Second Line	:	MCHE-COU-T DEPT 201
City	:	SAN ANTONIO
State	:	TX
Zip	:	78234-4513
Country	:	US
Telephone Number	:	210-916-8558
Fax Number	:

Provider Business Practice Location Address
First Line	:	5410 MAC WILLIAMS RD
Second Line	:	BLDG 5026 CAMP BULLIS
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257
Country	:	US
Telephone Number	:	210-916-4141
Fax Number	:

Authorized Official
Title or Position	:	UBO
Name	:	CHARON MONIQUE SEYMORE
Credential	:
Telephone Number	:	210-916-8563

Provider Enumeration Date	:	08/14/2013
Last Update Date	:	06/30/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1124960372 — NICOLE GODINES
Practice Location Address:

24200 IH 10 W
SAN ANTONIO, TX
78257-1145

Practice Phone: 210-263-9443
Practice Fax:

1912731597 — LAUREN LOVE
Practice Location Address:

24200 W I-10 FRONTAGE ROAD
SAN ANTONIO, TX
78257

Practice Phone: 210-263-9443
Practice Fax:

1861707150 — DR. POOJA KHURANA KASHYAP MD
Practice Location Address:

21727 IH 10 W STE 107
SAN ANTONIO, TX
78257-2108

Practice Phone: 210-644-1230
Practice Fax: 210-702-4615

1629072483 — MS. MONICA V TAGLE RNC, MSN, CPNP
Practice Location Address:

24200 IH 10 W STE 108
SAN ANTONIO, TX
78257-1150

Practice Phone: 210-263-9443
Practice Fax: 726-999-2625

1942206396 — DR. ALICIA VALERIUS TEZEL M.D.
Practice Location Address:

24200 IH 10 W STE 108
SAN ANTONIO, TX
78257-1150

Practice Phone: 210-263-9443
Practice Fax:

1558367508 — DALYS F GOMEZ M.D.
Practice Location Address:

24165 IH 10 W , STE 126
SAN ANTONIO, TX
78257-1109

Practice Phone: 210-687-1222
Practice Fax: 210-698-1110

Directions to “AMC BAMC-FSH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.