EL PASO EASTSIDE CBOC (4113) INSTITUTION (4)

Name	Value
NAME	EL PASO EASTSIDE CBOC
STATE	TEXAS
STREET ADDR. 1	2400 TRAWOOD DR
CITY	EL PASO
ZIP	79936-4168
OFFICIAL VA NAME	EL PASO EASTSIDE CBOC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: EL PASO VA HCS
BILLING FACILITY NAME	EL PASO EASTSIDE VA CBOC
EFFECTIVE DATE/TIME	2010-02-08 00:00:00 STATUS: ACTIVE NPI: 1154652287
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
STATION NUMBER	756GB