Provider Demographics
NPI:1124373360
Name:AUDIE L. MURPHY MEMORIAL VA HOSPITAL
Entity Type:Organization
Organization Name:AUDIE L. MURPHY MEMORIAL VA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RRT/STAFF THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GEOFFERY
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:STOKELIN
Authorized Official - Suffix:
Authorized Official - Credentials:BSRC RRT
Authorized Official - Phone:210-617-5300
Mailing Address - Street 1:7400 MERTON MINTER ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4404
Mailing Address - Country:US
Mailing Address - Phone:210-617-5300
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX565752865M2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital