| NAME |
MC ALLEN OUTPATIENT CLINIC |
| STATE |
TEXAS |
| STREET ADDR. 1 |
2101 SOUTH COLONEL ROWE BLVD |
| CITY |
MCALLEN |
| ZIP |
78503-1272 |
| OFFICIAL VA NAME |
MC ALLEN OUTPATIENT CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MCALLEN VA CBOC |
| ST. ADDR. 1 (MAILING) |
2101 SOUTH COLONEL ROWE BLVD |
| CITY (MAILING) |
MCALLEN |
| STATE (MAILING) |
TEXAS |
| ZIP (MAILING) |
78503-1272 |
| EFFECTIVE DATE/TIME |
-
- 2008-06-27 00:00:00
- STATUS: ACTIVE
- NPI: 1720021983
-
- 2008-07-26 00:00:00
- STATUS: INACTIVE
- NPI: 1720021983
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
671B0 |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 671B0
-
- CODING SYSTEM: CLIA
- ID: 45D0987957
|
