| NAME |
SOUTH BEXAR COUNTY VA CLINIC |
| STATE |
TEXAS |
| STREET ADDR. 1 |
4610 E SOUTHCROSS BLVD, SUITE 100 |
| CITY |
SAN ANTONIO |
| ZIP |
78222-4914 |
| OFFICIAL VA NAME |
SOUTH BEXAR COUNTY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SOUTH BEXAR VA CBOC |
| ST. ADDR. 1 (MAILING) |
4610 E SOUTHCROSS BLVD, SUITE 100 |
| CITY (MAILING) |
SAN ANTONIO |
| STATE (MAILING) |
TEXAS |
| ZIP (MAILING) |
78222-4914 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1073552006
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
671GF |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1073552006
-
- CODING SYSTEM: VASTANUM
- ID: 671GF
-
- CODING SYSTEM: CLIA
- ID: 45D1006076
|
