| NAME |
LUFKIN |
| STATE |
TEXAS |
| STREET ADDR. 1 |
2206 N. JOHN REDDITT DR |
| CITY |
LUFKIN |
| ZIP |
75904-1776 |
| OFFICIAL VA NAME |
LUFKIN OUTPATIENT CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LUFKIN VA CBOC |
| ST. ADDR. 1 (MAILING) |
2206 N. JOHN REDDITT DR |
| CITY (MAILING) |
LUFKIN |
| STATE (MAILING) |
TEXAS |
| ZIP (MAILING) |
75904-1776 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1003863861
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
580BZ |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1003863861
-
- CODING SYSTEM: VASTANUM
- ID: 580BZ
-
- CODING SYSTEM: CLIA
- ID: 45D0987982
|
