ProviderBusinessMailingAddressFaxNumber = '2109165900'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1750542551 | BARSOUMIAN | ALICE | EVELYN | | 3551 ROGER BROOKE DR | FORT SAM HOUSTON | TX | 782344504 |
| 1053603670 | CHANG | DAVID | | | 3551 ROGER BROOKE DR | JBSA FT SAM HOUSTON | TX | 782344504 |
| 1194067496 | LAGO | KATHRYN | JO | | 3551 ROGER BROOKE DR | FORT SAM HOUSTON | TX | 782344504 |
| 1285073643 | LANNING | JASON | T | | 3551 ROGER BROOKE DR | JBSA FT SAM HOUSTON | TX | 782344504 |
| 1285138214 | TOWNSEND | LISA | CLAIRE | | 3551 ROGER BROOKE DR | JBSA FT SAM HOUSTON | TX | 782344504 |
| 1487630802 | VENTO | TODD | JOSEPH | | 3551 ROGER BROOKE DR | JBSA FT SAM HOUSTON | TX | 782344504 |
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