Provider Demographics
NPI:1982708301
Name:MICHAEL E. DEBAKEY VA MEDICAL CTR.
Entity Type:Organization
Organization Name:MICHAEL E. DEBAKEY VA MEDICAL CTR.
Other - Org Name:TEXAS WEST OAKS HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:LVN
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:DENESE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-752-8436
Mailing Address - Street 1:1950 ELDRIDGE PKWY
Mailing Address - Street 2:12201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3447
Mailing Address - Country:US
Mailing Address - Phone:281-752-8436
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX151758282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital