BALCONES HEIGHTS VA CLINIC (4007)    INSTITUTION (4)

Name Value
NAME BALCONES HEIGHTS VA CLINIC
STATE TEXAS
STREET ADDR. 1 4522 FREDERICKSBURG RD STE A10/A88/A100
CITY SAN ANTONIO
ZIP 78201-6521
OFFICIAL VA NAME BALCONES HEIGHTS VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SAN ANTONIO 4 VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1003224049
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 671GP