HOUSTON VA DOMICILIARY (4583)    INSTITUTION (4)

Name Value
NAME HOUSTON VA DOMICILIARY
STATE TEXAS
STREET ADDR. 1 4320 OLD SPANISH TRL
CITY HOUSTON
ZIP 77021-1621
OFFICIAL VA NAME MENTAL HEALTH RESIDENTIAL REHABILITATION TREATMENT PROGRAM
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HOUSTON 1 VA CARE SITE
EFFECTIVE DATE/TIME
  • 2023-06-27 00:00:00
    STATUS:   ACTIVE
    NPI:   1558048041
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 580BV
HISTORY
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   45D2277113