Organization Name: | VA HOSPITAL |
NPI Number: | 1033229778 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA LE'CHELLE BRANDYBERG-IKWUAGWU (REGISTERED RESPIRATORY THERAPIST) |
Mailing Address: | 8222 Lone Bridge Ln Humble |
State: | TX US |
Postal Code: | 773381726 |
Phone Number: | 2814468470 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 63094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |