| NAME |
NEW BRAUNFELS VA CLINIC |
| STATE |
TEXAS |
| STREET ADDR. 1 |
790 GENERATIONS DR STE 700 |
| CITY |
NEW BRAUNFELS |
| ZIP |
78130-6865 |
| OFFICIAL VA NAME |
NEW BRAUNFELS VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NEW BRAUNFELS VA CLINIC |
| ST. ADDR. 1 (MAILING) |
189 E AUSTIN ST SUITE 106 |
| CITY (MAILING) |
NEW BRAUNFELS |
| STATE (MAILING) |
TEXAS |
| ZIP (MAILING) |
78130-4104 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1548207962
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
671GL |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 705 LANDA ST, SUITE C
- CITY (CHANGED FROM): NEW BRAUNFELS
- STATE (CHANGED FROM): TEXAS
- ZIP (CHANGED FROM): 78130-6163
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1548207962
-
- CODING SYSTEM: VASTANUM
- ID: 671GL
-
- CODING SYSTEM: CLIA
- ID: 45D0921459
|
