59Th Mdw-Whasc-Lackland

Specialty details in registry · Lackland A F B, TX

Call (210) 292-7575 Directions

At a glance

2200 Bergquist Dr, Lackland A F B, TX 78236-9907

NPPES record updated Jun 17, 2025. Public records can lag behind changes at a practice.

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Practice location

2200 Bergquist Dr Suite 1 Adbs
Lackland A F B, TX 78236-9907
Professional details: NPI, taxonomy & registry record
NPI1275511776
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM1101X
Enumeration date
Jan 4, 2006
Record updated
Jun 17, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM1100X

Specialty details in registry

261QM1101X · Primary

Specialty details in registry

332000000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2200 Bergquist Dr
Suite 1 Adbs
Lackland A F B, TX 78236-9907
Phone
(210) 292-7575
Fax
(210) 292-2592
Mailing address
2200 BERGQUIST DR
SUITE 1 ADBS
LACKLAND A F B, TX 782369907
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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