LAREDO OPC (4101) INSTITUTION (4)

Name	Value
NAME	LAREDO OPC
STATE	TEXAS
STREET ADDR. 1	4602 N. BARTLETT AVE
CITY	LAREDO
ZIP	78041-3803
OFFICIAL VA NAME	LAREDO OPC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: HARLINGEN VA CLINIC
BILLING FACILITY NAME	LAREDO VA CBOC
ST. ADDR. 1 (MAILING)	4602 N. BARTLETT AVE
CITY (MAILING)	LAREDO
STATE (MAILING)	TEXAS
ZIP (MAILING)	78041-3803
EFFECTIVE DATE/TIME	2009-07-28 00:00:00 STATUS: ACTIVE NPI: 1306164629
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	740GD