HOUSTON 4 VA MOBILE CLINIC (4585)    INSTITUTION (4)

Name Value
NAME HOUSTON 4 VA MOBILE CLINIC
STATE TEXAS
STREET ADDR. 1 2002 HOLCOMBE BLVD
CITY HOUSTON
ZIP 77030-4211
OFFICIAL VA NAME HOUSTON 4 VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HOUSTON 4 VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2023-10-02 00:00:00
    STATUS:   ACTIVE
    NPI:   1528848082
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 580QF
HISTORY