HOUSTON 2 VA MOBILE CLINIC (4449) INSTITUTION (4)

Name	Value
NAME	HOUSTON 2 VA MOBILE CLINIC
STATE	TEXAS
STREET ADDR. 1	2002 HOLCOMBE BLVD
CITY	HOUSTON
ZIP	77030-4211
OFFICIAL VA NAME	HOUSTON 2 VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: HOUSTON VAMC
BILLING FACILITY NAME	HOUSTON 2 VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2021-12-29 00:00:00 STATUS: ACTIVE NPI: 1760142525
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	580QC