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Organization
MICHAEL E. DEBACKEY VETERANS AFFAIRS MEDICAL CENTER
Active
Organization
MICHAEL E. DEBACKEY VETERANS AFFAIRS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE DAWN WIEMERS BSRTT (RADIATION THERAPIST)
(713) 791-1414
Entity
Organization
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
8300 EL MUNDO ST, APT. # 704, HOUSTON, TX 77054-4681
(210) 393-4862
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
370126
TX
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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