| NAME |
CLEBURNE CBOC |
| STATE |
TEXAS |
| STREET ADDR. 1 |
207 FERRIS AVE |
| CITY |
WAXAHACHIE |
| ZIP |
75165-0361 |
| OFFICIAL VA NAME |
NORTH TEXAS HEALTH CARE SYSTEM - CLEBURNE CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WAXAHACHIE 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: 1215989355
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
549GI |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1215989355
-
- CODING SYSTEM: VASTANUM
- ID: 549GI
|
