Organization Active NPI

Michael E Debakey Vamc

  • Military Hospital
  • Fresno, TX
National Provider Identifier
1124308275
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
680837 Issued in TX
Legal business name
MICHAEL E DEBAKEY VAMC
Practice address
4030 Longway Estates CT
Fresno, TX 77545-8645
Phone
(713) 791-1414
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Ms. Pamela Faye Walker, RN/MSN
Title
RN/Staff Nurse
Phone
(713) 791-1414

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 680837 TX
Military Hospital 286500000X 680837 TX Primary
Military General Acute Care Hospital 2865M2000X 680837 TX

Addresses

Primary practice location

4030 Longway Estates CT
Fresno, TX 77545-8645

Mailing address

4030 Longway Estates CT
Fresno, TX 77545-8645
Phone (713) 791-1414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1124308275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 LONGWAY ESTATES CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458645",
            "telephone_number": "713-791-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 LONGWAY ESTATES CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458645",
            "telephone_number": "713-791-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E DEBAKEY VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "RN/STAFF NURSE",
        "authorized_official_telephone_number": "713-791-1414",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN/MSN"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "680837",
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "TX",
            "license": "680837",
            "primary": true
        },
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "TX",
            "license": "680837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.