MEDICARE: AMC DARNALL-FT CAVAZOS

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	332000000X	Military/U.S. Coast Guard Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2092818	OTHER		PK

General Provider Information

NPI Number	:	1619076841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMC DARNALL-FT CAVAZOS

Provider Business Mailing Address
First Line	:	CARL R DARNALL ARMY MEDICAL CENTER
Second Line	:	MCXI-RMD-TP 36000 DARNALL LOOP
City	:	FT CAVAZOS
State	:	TX
Zip	:	76544
Country	:	US
Telephone Number	:	254-618-8781
Fax Number	:	254-618-8807

Provider Business Practice Location Address
First Line	:	BLDG 33003
Second Line	:	BN AVE AND 74TH
City	:	FT HOOD
State	:	TX
Zip	:	76544
Country	:	US
Telephone Number	:	254-618-8781
Fax Number	:	254-618-8807

Authorized Official
Title or Position	:	CHIEF DHA PASS
Name	:	HECTOR MORALES
Credential	:
Telephone Number	:	210-536-6650

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/16/2025

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Directions to “AMC DARNALL-FT CAVAZOS ” Practice Location

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