IndividualActive
Christian Im
NPI 1184412397 · Military Health Care Provider · Jbsa Ft Sam Houston, TX
Provider details
- NPI number
- 1184412397
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 292-3410
Mailing address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Registry dates
- Enumerated
- 2025-04-28
- Last updated
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.