| NAME |
CORPUS CHRISTI |
| STATE |
TEXAS |
| STREET ADDR. 1 |
5283 OLD BROWNSVILLE RD |
| CITY |
CORPUS CHRISTI |
| ZIP |
78405-3908 |
| OFFICIAL VA NAME |
SOUTH TEXAS HEALTH CARE SYSTEM - CORPUS CHRISTI OUTPATIENT CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CORPUS CHRISTI VA CBOC |
| ST. ADDR. 1 (MAILING) |
5283 OLD BROWNSVILLE ROAD |
| CITY (MAILING) |
CORPUS CHRISTI |
| STATE (MAILING) |
TEXAS |
| ZIP (MAILING) |
78405-3908 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: INACTIVE
- NPI: 1255383253
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
OTHER |
| POINTER TO AGENCY |
OTHER |
| STATION NUMBER |
671BZ |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1255383253
-
- CODING SYSTEM: VASTANUM
- ID: 671BZ
-
- CODING SYSTEM: CLIA
- ID: 45D0987968
|
