MEDVAMC (NPI# 1619031994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619031994 |
| Entity Type | Organization |
| Organization Name | MEDVAMC |
| Practice Address |
2002 Holcombe Blvd Houston TX 77030-4211 |
| Practice Telephone | 7137941414 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LYANNE P TRUONG (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 7137941414 |
| Authorized Official Credential | MPA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865X1600X |
Military Hospital Specialization: Military General Acute Care Hospital. Operational (Transportable) |
PA04307 | TX | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548609894 | Medvamc | Rehabilitation Unit | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2013-06-20 |
| 1710093893 | Medvamc | General Acute Care Hospital | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-22 |
| Street Address |
2002 HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488290 | Gayathri Bhagwath | Internal Medicine | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2005-06-21 |
| 1023615143 | Aji Sam | Nurse Practitioner | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-10-01 |
| 1639785280 | Jessie Ho | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-18 |
| 1326653437 | Stacey Edwards | Genetic Counselor, MS | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-15 |
| 1104431436 | Jessica Taylor Honkomp | Genetic Counselor, MS | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-14 |
| 1205449360 | Holly Denise Robertson | Registered Nurse | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-28 |
| 1033720933 | Alana Rice | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1033720925 | Noelle Marie Cordova | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1679184568 | Khushbu A Patel | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1336750314 | Melissa Lorraine Alvarez | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 2865X1600X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital. Operational (Transportable) |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "non-fixed" or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include hospital ships. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568731982 | April Denise Wesley | Military Hospital | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2011-12-14 |
| 1013022524 | Department of Veteran Affairs Med. Center | Military Hospital | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235384629 | South Texas Veterans Health Care System | Military Hospital | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2008-11-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.