KATY CBOC (3652)    INSTITUTION (4)

Name Value
NAME KATY CBOC
STATE TEXAS
STREET ADDR. 1 750 WESTGREEN BLVD
CITY KATY
ZIP 77450-2799
OFFICIAL VA NAME KATY CBOC
STATUS National
ASSOCIATIONS
EFFECTIVE DATE/TIME
  • 2013-02-04 00:00:00
    STATUS:   ACTIVE
    NPI:   1952640286
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 580GE
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   45D2055537