Provider Demographics
NPI:1528354487
Name:VETS AMANC
Entity type:Organization
Organization Name:VETS AMANC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUITVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CEOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:713-419-6997
Mailing Address - Street 1:4422 BALKIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-4104
Mailing Address - Country:US
Mailing Address - Phone:713-419-6997
Mailing Address - Fax:713-741-1114
Practice Address - Street 1:4422 BALKIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-4104
Practice Address - Country:US
Practice Address - Phone:713-419-6997
Practice Address - Fax:713-741-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care