Healthcare Provider Details

I. General information

NPI: 1033298278
Provider Name (Legal Business Name): LANDSTUHL REGIONAL MEDCEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NATO HEALTH CLINIC BELGIUM RM 155
APO AE
09724
US

IV. Provider business mailing address

CMR 402 BLDG 3700 ERMC UBO RM 155
APO AE
09180
US

V. Phone/Fax

Practice location:
  • Phone: 210-221-8274
  • Fax:
Mailing address:
  • Phone: 210-221-8274
  • Fax: 210-295-2567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332000000X
TaxonomyMilitary/U.S. Coast Guard Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HECTOR MORALES
Title or Position: CHIEF DHA PASS
Credential:
Phone: 210-536-6650