| NAME |
ZZ-TARRANT COUNTY CBOC |
| STATE |
TEXAS |
| STREET ADDR. 1 |
UNIVERSITY OF NTH SCIENCE CTR |
| CITY |
FORT WORTH |
| ZIP |
76107 |
| OFFICIAL VA NAME |
NORTH TEXAS HEALTH CARE SYSTEM - DIAMOND HILL CBOC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
DIAMOND HILL VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1679512628
-
- 2021-06-28 00:00:00
- STATUS: INACTIVE
- NPI: 1679512628
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
549HA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1679512628
-
- CODING SYSTEM: VASTANUM
- ID: 549HA
-
- CODING SYSTEM: CLIA
- ID: 45D0889069
|
