Provider Demographics
NPI:1639438096
Name:VETERANS HEALTHCARE SYSTEM
Entity Type:Organization
Organization Name:VETERANS HEALTHCARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR CLINICAL PRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:MARTHE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MOSELEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN, CCNS
Authorized Official - Phone:210-875-2668
Mailing Address - Street 1:101 BIKEWAY LN
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1402
Mailing Address - Country:US
Mailing Address - Phone:210-875-2668
Mailing Address - Fax:
Practice Address - Street 1:101 BIKEWAY LN
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78231-1402
Practice Address - Country:US
Practice Address - Phone:210-875-2668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX545736282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital