Organization
MEDVAMC-HOUSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL ANN BECKWITH R.N. (STAFF NURSE)
(936) 522-4000
Entity
Organization
Contact information
Practice address
17307 DANBURY BRIDGE DR., HOUSTON, TX 77095
(936) 522-4000
Mailing address
2002 HOLCOME BLVD., HOUSTON, TX 77030
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
253803
TX
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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