# MEDVAMC-HOUSTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528240074
- **Authorized official:** MS. CAROL ANN BECKWITH R.N. (STAFF NURSE)
- **Authorized official phone:** (936) 522-4000

## Contact information

- **Practice address:** 17307 DANBURY BRIDGE DR., HOUSTON, TX 77095
- **Practice address phone:** (936) 522-4000
- **Mailing address:** 2002 HOLCOME BLVD., HOUSTON, TX 77030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 253803 | TX | Yes |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 11/27/2007