GRAND PRAIRIE VA CLINIC (4424)    INSTITUTION (4)

Name Value
NAME GRAND PRAIRIE VA CLINIC
STATE TEXAS
STREET ADDR. 1 2737 SHERMAN STREET
CITY GRAND PRAIRIE
ZIP 75051-1027
OFFICIAL VA NAME GRAND PRAIRIE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GRAND PRAIRIE VA CLINIC
EFFECTIVE DATE/TIME
  • 2018-09-10 00:00:00
    STATUS:   ACTIVE
    NPI:   1386129575
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 549GM