person
Jake Anthony Wahl, MS
Military Health Care Provider in Fort Sam Houston, Texas
NPI 1578320834

Jake Anthony Wahl is a Military Health Care Provider based in Fort Sam Houston, TX. Jake Anthony Wahl practices in Fort Sam Houston, TX and has the professional credentials of MS. The NPI Number for Jake Anthony Wahl is 1578320834 and holds a License No. (Texas).

The current practice location address for Jake Anthony Wahl is 3551 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 210-916-0808 and via fax at 210-916-6654.

Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
person
Provider Profile Details
NPI Number
1578320834
Provider Name
Jake Anthony Wahl
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
Phone Number
210-916-0808
Fax Number
210-916-6654
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
210-916-0808
Fax Number
210-916-6654
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
210-916-0808
Fax Number
210-916-6654
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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