Most Relevant Information
Provider Data
| NPI Number: | 1003318569 |
| Provider Name: | HALWARD BLEGEN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 02005951A |
Most Important Dates
| Enumeration Date: | 03/01/2018 |
| Last Updated: | 03/25/2020 |
Provider Practice Location
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON
TX
78234
Practice Location Phone/Fax
| Phone: | 2102207419 |
| Fax: |
Provider Mailing Location
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON
TX
78234
Provider Mailing Phone/Fax
| Phone: | 2102207419 |
| Fax: |