Healthcare Provider Details

I. General information

NPI: 1184718868
Provider Name (Legal Business Name): VETERANS AFFAIRS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOLCOMBE BLVD
HOUSTON TX
77030
US

IV. Provider business mailing address

2002 HOLCOMBE BLVD
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-791-1414
  • Fax:
Mailing address:
  • Phone: 713-791-1414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License Number62511
License Number StateTX

VIII. Authorized Official

Name: MRS. MARICAR ALMAZAR YAP
Title or Position: REGISTERED RESPIRATORY THERAPIST
Credential: RRT, RCP
Phone: 713-791-1414