US Army
US Army is a Point of Service in Lackland AFB, Texas. Licensed in Kentucky. Registered with an NPI since 2016.
- Licensed in
- KY
- In the registry since
- 2016
Practice location Address checks out
1320 Truemper St Unit 369401 Jbsa Lackland AfbLackland AFB, TX 78236-6094
Phone: (502) 409-2981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence 9175 (KY) |
|---|
Record details
| NPI number | 1407205065 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Farzan Pouranfar — General Dentist · (502) 409-2981 |
| NPI enumerated | June 5, 2016 |
| Last updated in NPPES | June 5, 2016 |
| Mailing address | 1320 Truemper St Unit 369401, Jbsa Lackland Afb, Lackland Afb, TX 78236-6094 |