Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Haley Fortin, MD

Individual provider Military Health Care Provider · NPI 1063216570

Amanda Haley Fortin, MD is a Military Health Care Provider in San Antonio, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Brooke Army Medical Center Mche-Mdx 3551 Roger Brooke Dri Jbsa-Fort Sam Houston
San Antonio, TX 78234-4504
Phone: (210) 916-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X

Record details

NPI number1063216570
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2025
Last updated in NPPESApril 3, 2025
Certification dateMarch 29, 2025

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