Provider Demographics
NPI:1356352249
Name:THE MICHAEL E DEBAKEY VA MEDICAL CENTER
Entity type:Organization
Organization Name:THE MICHAEL E DEBAKEY VA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:RASHANDA
Authorized Official - Middle Name:RAQUEL
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-791-1414
Mailing Address - Street 1:6160 E SAM HOUSTON PKWY N APT 5306
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77049-7220
Mailing Address - Country:US
Mailing Address - Phone:713-419-4205
Mailing Address - Fax:
Practice Address - Street 1:6160 E SAM HOUSTON PKWY N APT 5306
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-7220
Practice Address - Country:US
Practice Address - Phone:713-419-4205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX713097283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital