| NAME |
RICHMOND CBOC |
| STATE |
TEXAS |
| STREET ADDR. 1 |
22001 S. W. FRWY, SUITE #200 |
| CITY |
RICHMOND |
| ZIP |
77469-7003 |
| OFFICIAL VA NAME |
RICHMOND CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
RICHMOND VA CBOC |
| ST. ADDR. 1 (MAILING) |
22001 S. W. FRWY, SUITE #200 |
| CITY (MAILING) |
RICHMOND |
| STATE (MAILING) |
TEXAS |
| ZIP (MAILING) |
77469-7003 |
| EFFECTIVE DATE/TIME |
-
- 2010-05-17 00:00:00
- STATUS: ACTIVE
- NPI: 1649596560
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
580GG |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 45D2010155
|
