| Organization Name: | VA MEDICAL CENTER |
| NPI Number: | 1104216332 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VERONICA RODRIGUEZ (CNA) |
| Mailing Address: | 10707 W Interstate 10 Apt 436 San Antonio |
| State: | TX US |
| Postal Code: | 782301674 |
| Phone Number: | 8307342466 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2015 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |