| NAME |
PERMIAN BASIN CBOC |
| STATE |
TEXAS |
| STREET ADDR. 1 |
8050 E. HIGHWAY 191 |
| CITY |
ODESSA |
| ZIP |
79765-8613 |
| OFFICIAL VA NAME |
PERMIAN BASIN CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ODESSA VA CBOC |
| ST. ADDR. 1 (MAILING) |
8050 E. HIGHWAY 191 |
| CITY (MAILING) |
ODESSA |
| STATE (MAILING) |
TEXAS |
| ZIP (MAILING) |
79765-8610 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1861430217
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
519GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1861430217
-
- CODING SYSTEM: VASTANUM
- ID: 519GA
-
- CODING SYSTEM: CLIA
- ID: 45D1042351
|
