CEDAR PARK VA CLINIC (1816)    INSTITUTION (4)

Name Value
NAME CEDAR PARK VA CLINIC
STATE TEXAS
STREET ADDR. 1 1401 MEDICAL PARKWAY, SUITE 400, BLDG C
CITY CEDAR PARK
ZIP 78613-6663
OFFICIAL VA NAME CEDAR PARK VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CEDAR PARK VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1518918309
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 674GD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1518918309
  • CODING SYSTEM:   VASTANUM
    ID:   674GD