AMANDA HALEY FORTIN MD
NPI 1063216570
Military Health Care Provider in San Antonio, TX
- Individual
- Female
- Military Health Care Provider
About AMANDA FORTIN
This page provides the complete NPI Profile along with additional information for Amanda Fortin, a provider established in San Antonio, Texas with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1063216570 assigned on April 2025. The practitioner's primary taxonomy code is 171000000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1063216570 Verify this NPI
- Provider Name
- AMANDA HALEY FORTIN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- BROOKE ARMY MEDICAL CENTER, MCHE-MDX 3551 ROGER BROOKE DRI., JBSA-FORT SAM HOUSTON SAN ANTONIO, TX 78234
- Location Phone
- (210) 916-5000
- Mailing Address
- BROOKE ARMY MEDICAL CENTER, MCHE-MDX 3551 ROGER BROOKE DRI., JBSA-FORT SAM HOUSTON SAN ANTONIO, TX 78234
- Mailing Phone
- (210) 916-5000
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2025
- Last Update Date
- 04-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
JBSA-FORT SAM HOUSTON, TX 78234
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063216570, enumerated as an "individual" on April 03, 2025.
The provider is located at BROOKE ARMY MEDICAL CENTER, MCHE-MDX 3551 ROGER BROOKE DRI., JBSA-FORT SAM HOUSTON SAN ANTONIO, TX 78234 and the phone number is (210) 916-5000.
Military Health Care Provider with taxonomy code 171000000X.
