| NAME |
VICTORIA VA CLINIC |
| STATE |
TEXAS |
| STREET ADDR. 1 |
1908 N. LAURENT ST #150 |
| CITY |
VICTORIA |
| ZIP |
77901-5417 |
| OFFICIAL VA NAME |
VICTORIA VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
VICTORIA VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1407896863
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
OTHER |
| POINTER TO AGENCY |
OTHER |
| STATION NUMBER |
671GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1407896863
-
- CODING SYSTEM: VASTANUM
- ID: 671GB
-
- CODING SYSTEM: CLIA
- ID: 45D1006069
|
