Provider Demographics
NPI:1033229778
Name:VA HOSPITAL
Entity Type:Organization
Organization Name:VA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED RESPIRATORY THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:LE'CHELLE
Authorized Official - Last Name:BRANDYBERG-IKWUAGWU
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RRT
Authorized Official - Phone:281-446-8470
Mailing Address - Street 1:8222 LONE BRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-1726
Mailing Address - Country:US
Mailing Address - Phone:281-446-8470
Mailing Address - Fax:
Practice Address - Street 1:8222 LONE BRIDGE LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-1726
Practice Address - Country:US
Practice Address - Phone:281-446-8470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63094282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access