CHRISTUS SANTA ROSA VA CLINIC (4501)    INSTITUTION (4)

Name Value
NAME CHRISTUS SANTA ROSA VA CLINIC
STATE TEXAS
STREET ADDR. 1 423 TREELINE PARK STE 202
CITY SAN ANTONIO
ZIP 78209-2078
OFFICIAL VA NAME CHRISTUS SANTA ROSA VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SAN ANTONIO 2 VA CLINIC
EFFECTIVE DATE/TIME
  • 2021-06-10 00:00:00
    STATUS:   ACTIVE
    NPI:   1124792908
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 671QC