Organization
MICHAEL E. DEBAKEY VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RAY WILSON (HEALTH TECHNICIAN)
(713) 791-1414
Entity
Organization
Contact information
Practice address
4038 TEAL RUN PLACE COURT, FRESNO, TX 77545
(281) 431-5827
Mailing address
4038 TEAL RUN PLACE COURT, FRESNO, TX 77545
(281) 431-5827
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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