Organization
VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOU HEATER RN, CNS (DOMICILIARY)
(713) 794-1414
Entity
Organization
Contact information
Practice address
7329 FANNIN ST, HOUSTON, TX 77030-4805
(713) 791-1414
Mailing address
7329 FANNIN, VA DOMICILIARY, HOUSTON, TX 77030
(713) 791-1414
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
247200000X
TX
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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