1932212636 NPI number — MICHAEL E. DEBAKEY VETERANS ADMINISTRATION HOSPITAL

Table of content: (NPI 1932212636)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932212636 NPI number — MICHAEL E. DEBAKEY VETERANS ADMINISTRATION HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MICHAEL E. DEBAKEY VETERANS ADMINISTRATION HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932212636
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4222 JOSHUA CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77014-1151
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-537-7430
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4222 JOSHUA CIRCLE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-537-7430
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/16/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CALIMA
Authorized Official First Name:
PERLA
Authorized Official Middle Name:
VILLAMOR
Authorized Official Title or Position:
STAFF NURSE
Authorized Official Telephone Number:
713-791-1414

Provider Taxonomy Codes

  • Taxonomy code: 283Q00000X , with the licence number:  464712 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 464712 . This is a "RN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 464712 . This is a "R.N." identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".