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NPI Code Detail

MEDICARE: VA DEPARTMENT OF VETERANS AFFAIRS

MEDICARE: VA DEPARTMENT OF VETERANS AFFAIRS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1286500000XMilitary Hospital

General Provider Information

NPI Number : 1194948430
Entity Type Code : Organization
Provider Name (Legal Business Name) : VA DEPARTMENT OF VETERANS AFFAIRS
Provider Business Mailing Address
First Line : 10339 CLAY BROOK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77089-2164
Country : US
Telephone Number : 713-517-3746
Fax Number :
Provider Business Practice Location Address
First Line : 10339 CLAY BROOK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77089-2164
Country : US
Telephone Number : 713-517-3746
Fax Number :
Authorized Official
Title or Position : RADIOGRAPHER TECHNICIAN
Name : MARY DUONG PHAM
Credential : RT
Telephone Number : 713-517-3746
Provider Enumeration Date : 04/11/2007
Last Update Date : 08/22/2020

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Directions to “VA DEPARTMENT OF VETERANS AFFAIRS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.