person
Samuel Carlon Light
Military Health Care Provider in Jbsa Ft Sam Houston, Texas
NPI 1275390544

Samuel Carlon Light is a Military Health Care Provider based in Jbsa Ft Sam Houston, TX. Samuel Carlon Light practices in Jbsa Ft Sam Houston, TX. The NPI Number for Samuel Carlon Light is 1275390544 and holds a License No. (Texas).

The current practice location address for Samuel Carlon Light is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX and can be reached out via phone at 210-292-3410 and via fax at 210-292-7868.

Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
person
Provider Profile Details
NPI Number
1275390544
Provider Name
Samuel Carlon Light
Credential
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Phone Number
210-292-3410
Fax Number
210-292-7868
Provider Enumeration Date
03/04/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
210-292-3410
Fax Number
210-292-7868
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
210-292-3410
Fax Number
210-292-7868
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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