DENTON VA CLINIC (1335)    INSTITUTION (4)

Name Value
NAME DENTON VA CLINIC
STATE TEXAS
STREET ADDR. 1 2223 COLORADO BLVD
CITY DENTON
ZIP 76205-7523
OFFICIAL VA NAME DENTON VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DENTON VA CBOC
ST. ADDR. 1 (MAILING) 4500 S LANCASTER RD
CITY (MAILING) DALLAS
STATE (MAILING) TEXAS
ZIP (MAILING) 75216-7167
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1972558443
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 549GD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1972558443
  • CODING SYSTEM:   VASTANUM
    ID:   549GD
  • CODING SYSTEM:   CLIA
    ID:   12D1043405