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Organization

VA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRENDA ELAINE SULLIVAN MT, ASCP (MEDICAL TECHNOLOGIST)
(713) 794-7255
Entity
Organization

Contact information

Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 794-7255
Mailing address
6210 HAMPTON OAK CT, KATY, TX 77449-8401
(281) 858-5334

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MT-143756
TX

Other

Enumeration date
09/20/2006
Last updated
08/22/2020
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