Provider Demographics
NPI:1316235955
Name:UNITED STATES NAVY
Entity type:Organization
Organization Name:UNITED STATES NAVY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL OPERATIONS INDEPENDANT DUTY
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:HEATH
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:IDC
Authorized Official - Phone:210-223-1551
Mailing Address - Street 1:3837 BINZ ENGLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78219-2219
Mailing Address - Country:US
Mailing Address - Phone:210-223-1551
Mailing Address - Fax:
Practice Address - Street 1:3837 BINZ ENGLEMAN RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78219-2219
Practice Address - Country:US
Practice Address - Phone:210-223-1551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital