Organization · NPI-2

Medvamc

Military Hospital, Military General Acute Care Hospital. Operational (Transportable) · Houston, TX

NPI number1619031994
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1619031994
Entity type
Organization (NPI-2)
Legal business name
Medvamc
Organization subpart
No
Enumeration date
Dec 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2865X1600X Military Hospital, Military General Acute Care Hospital. Operational (Transportable)PA04307TXYes

Practice location

2002 Holcombe Blvd
Houston, TX 77030-4211

Phone 713-794-1414

Mailing address

2002 Holcombe Blvd
Houston, TX 77030-4211

Authorized official

Lyanne P Truong
Physician Assistant
7137941414

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