Provider Demographics
NPI:1659499176
Name:MICHAEL E. DEBAKEY VA MEDICAL CENTER
Entity Type:Organization
Organization Name:MICHAEL E. DEBAKEY VA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:CATBAGAN
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN,OCN
Authorized Official - Phone:281-477-3623
Mailing Address - Street 1:10022 IRON RIVER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-5139
Mailing Address - Country:US
Mailing Address - Phone:281-477-3623
Mailing Address - Fax:
Practice Address - Street 1:10022 IRON RIVER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-5139
Practice Address - Country:US
Practice Address - Phone:281-477-3623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX592793286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital