SOUTH TEXAS VA MOBILE CLINIC (4011) INSTITUTION (4)

Name	Value
NAME	SOUTH TEXAS VA MOBILE CLINIC
STATE	TEXAS
STREET ADDR. 1	3600 MEMORIAL BLVD
CITY	KERRVILLE
ZIP	78028-5768
OFFICIAL VA NAME	SOUTH TEXAS VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: AUDIE L. MURPHY MEMORIAL HOSP
BILLING FACILITY NAME	STVHCS MOBILE MEDICAL UNIT OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1023406311
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	671QA