TEMPLE VA CLINIC (4031)    INSTITUTION (4)

Name Value
NAME TEMPLE VA CLINIC
STATE TEXAS
STREET ADDR. 1 4501 SOUTH GENERAL BRUCE DRIVE, #75
CITY TEMPLE
ZIP 76502-1466
OFFICIAL VA NAME TEMPLE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TEMPLE VA CBOC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1508273673
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 674GF