Organization
MEDVAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAMONA RENITA SMITH-CLAY RN,C (CHARGE/STAFF NURSE)
(713) 794-7559
Entity
Organization
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 794-7559
Mailing address
5611 FORESTHAVEN DR, HOUSTON, TX 77066-2407
(281) 537-6229
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
596966
TX
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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