| NAME |
WICHITA FALLS CBOC |
| STATE |
TEXAS |
| STREET ADDR. 1 |
2600 CENTRAL FWY STE 180 |
| CITY |
WICHITA FALLS |
| ZIP |
76306-2850 |
| OFFICIAL VA NAME |
WICHITA FALLS CBOC VETERANS CLINIC OF NORTH TEXAS |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WICHITA FALLS VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1275573016
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
635GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1275573016
-
- CODING SYSTEM: VASTANUM
- ID: 635GB
-
- CODING SYSTEM: CLIA
- ID: 45D2094669
|
