FT STOCKTON CBOC (2172)    INSTITUTION (4)

Name Value
NAME FT STOCKTON CBOC
STATE TEXAS
STREET ADDR. 1 1205 NORTH SYCAMORE STREET
CITY FT STOCKTON
ZIP 79735-4122
OFFICIAL VA NAME FT. STOCKTON CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME FORT STOCKTON VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1891740098
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 519GD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1891740098
  • CODING SYSTEM:   VASTANUM
    ID:   519GD