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	332000000X	Military/U.S. Coast Guard Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2098888	OTHER		PK

General Provider Information

NPI Number	:	1144329269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMC BAMC-FSH

Provider Business Mailing Address
First Line	:	BROOKE ARMY MEDICAL CENTER
Second Line	:	3551 ROGER BROOKE DR MCHE-ZAR-UT 201
City	:	SAN ANTONIO
State	:	TX
Zip	:	78234-4513
Country	:	US
Telephone Number	:	210-916-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	5026, CAMP BULLIS RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257
Country	:	US
Telephone Number	:	210-916-8700
Fax Number	:

Authorized Official
Title or Position	:	DHA POD
Name	:	HECTOR MORALES
Credential	:
Telephone Number	:	210-536-6118

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	06/30/2025

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Directions to “AMC BAMC-FSH ” Practice Location

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