# MEDVAMC

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

## Provider details

- **NPI number:** 1710093893
- **Authorized official:** MRS. RAMONA RENITA SMITH-CLAY RN,C (CHARGE/STAFF NURSE)
- **Authorized official phone:** (713) 794-7559

## Contact information

- **Practice address:** 2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
- **Practice address phone:** (713) 794-7559
- **Mailing address:** 5611 FORESTHAVEN DR, HOUSTON, TX 77066-2407
- **Mailing address phone:** (281) 537-6229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 596966 | TX | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 08/22/2020