IndividualActive
Anthony Basil, IDC
NPI 1235321464 · Independent Duty Corpsman · Jbsa Lackland, TX
Provider details
- NPI number
- 1235321464
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1250 Arnold Cir Ste 1
Jbsa Lackland, TX 78236-5414
Phone: (210) 671-4062
Approximate (ZIP-level) locationGet directions
Mailing address
1250 Arnold Cir Ste 1
Jbsa Lackland, TX 78236-5414
Registry dates
- Enumerated
- 2007-08-12
- Last updated
- 2016-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.