Provider Demographics
NPI:1528314499
Name:MICHAEL E. DEBAKEY VA MEDICAL CENTER
Entity type:Organization
Organization Name:MICHAEL E. DEBAKEY VA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-791-1414
Mailing Address - Street 1:3109 W OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8395
Mailing Address - Country:US
Mailing Address - Phone:713-344-0804
Mailing Address - Fax:
Practice Address - Street 1:3109 W OAKS BLVD
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8395
Practice Address - Country:US
Practice Address - Phone:713-344-0804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA770992273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit