CORPUS CHRISTI VA MOBILE CLNIC (4671)    INSTITUTION (4)

Name Value
NAME CORPUS CHRISTI VA MOBILE CLNIC
STATE TEXAS
STREET ADDR. 1 925 SOUTH PADRE ISLAND DR
CITY CORPUS CHRISTI
ZIP 78416-9998
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CORPUS CHRISTI VA MOBILE CLNIC
EFFECTIVE DATE/TIME
  • 2023-05-31 00:00:00
    STATUS:   ACTIVE
    NPI:   1184317414
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 740QC
HISTORY