Organization Active NPI

Michael E. Debakey VA Medical Center

  • General Acute Care Hospital
  • Spring, TX
National Provider Identifier
1043435357
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MICHAEL E. DEBAKEY VA MEDICAL CENTER
Practice address
18307 Fernbluff Dr
Spring, TX 77379-4034
Phone
(832) 298-3338
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Martin Gajdusek
Title
Radiological Technologist
Phone
(713) 791-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

18307 Fernbluff Dr
Spring, TX 77379-4034

Mailing address

18307 Fernbluff Dr
Spring, TX 77379-4034
Phone (832) 298-3338

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043435357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18307 FERNBLUFF DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794034",
            "telephone_number": "832-298-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18307 FERNBLUFF DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794034",
            "telephone_number": "832-298-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. DEBAKEY VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAJDUSEK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "RADIOLOGICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "713-791-1414"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.