Provider Demographics
NPI:1487757969
Name:V A HOSPITAL
Entity type:Organization
Organization Name:V A HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JASPAUL
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BHANGOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-951-5778
Mailing Address - Street 1:220 PATRICIA LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7176
Mailing Address - Country:US
Mailing Address - Phone:972-317-8919
Mailing Address - Fax:
Practice Address - Street 1:FWOPC/ VA MEDICAL CENTER
Practice Address - Street 2:300 W. ROSEDALE
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104
Practice Address - Country:US
Practice Address - Phone:817-882-8185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23930261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care