Individual provider · Type 1 NPI

Thomas Samuel Fonseca Jr., DO

Military Health Care Provider · Jbsa Fort Sam Houston, TX

NPI number 1013721943 Active

Practice location

3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: 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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About NPI 1013721943

Thomas Samuel Fonseca Jr., DO's National Provider Identifier is 1013721943, issued on Feb 3, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on Feb 3, 2025.