PLANO VA CLINIC (3556) INSTITUTION (4)

Name	Value
NAME	PLANO VA CLINIC
STATE	TEXAS
STREET ADDR. 1	3804 WEST 15TH STREET, SUITE 175
CITY	PLANO
ZIP	75075-4752
OFFICIAL VA NAME	PLANO VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: DALLAS VA MEDICAL CENTER
BILLING FACILITY NAME	PLANO VA CLINIC
EFFECTIVE DATE/TIME	2016-08-29 00:00:00 STATUS: ACTIVE NPI: 1508313149
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	549GL
IDENTIFIER	CODING SYSTEM: CLIA ID: 45D2115353