Individual provider · Type 1 NPI

Aries Basulto

Military Health Care Provider · Fort Hood, TX

NPI number 1164356291 Active

Practice location

36065 Santa Fe Ave
Fort Hood, TX 76544-5060

Call (920) 600-7739 Map

Mailing address

1205 Excel Dr
Killeen, TX 76542-5837

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 1164356291

Aries Basulto's National Provider Identifier is 1164356291, issued on Jun 12, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Hood, TX. The record was last updated on Jun 12, 2026.