Healthcare Provider Details

I. General information

NPI: 1831502590
Provider Name (Legal Business Name): AMC BAMC-FSH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 SCOTT RD BROOKE ARMY MEDICAL CENTER
FORT SAM HOUSTON TX
78234
US

IV. Provider business mailing address

BROOKE ARMY MEDICAL CENTER 3551 ROGER BROOKE DR MCHE-ZAR-UT 201
FORT SAM HOUSTON TX
78234-4513
US

V. Phone/Fax

Practice location:
  • Phone: 210-295-9370
  • Fax: 210-295-9373
Mailing address:
  • Phone: 210-916-8563
  • Fax: 210-916-4851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332000000X
TaxonomyMilitary/U.S. Coast Guard Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HECTOR MORALES
Title or Position: DHA POD
Credential:
Phone: 210-536-6118