Organization
M.E.DEBAKEY VETERANS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN LORRAINE STARKS RN (RN/CONSULT COORDINATOR)
(713) 791-1414
Entity
Organization
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
7962 DAWNRIDGE DR, HOUSTON, TX 77071-2503
(713) 729-6480
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
454837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454837
RN LICENSE
TX
Enumeration date
01/05/2008
Last updated
01/05/2008
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