SHAVANO PARK VA CLINIC (4008) INSTITUTION (4)

Name	Value
NAME	SHAVANO PARK VA CLINIC
STATE	TEXAS
STREET ADDR. 1	4350 LOCKHILL SELMA RD, #200
CITY	SAN ANTONIO
ZIP	78249-2166
OFFICIAL VA NAME	SHAVANO PARK VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: AUDIE L. MURPHY MEMORIAL HOSP
BILLING FACILITY NAME	SHAVANO PARK VA CBOC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1962819045
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	671GQ