| NAME |
LAREDO |
| STATE |
TEXAS |
| STREET ADDR. 1 |
6551 STAR COURT |
| CITY |
LAREDO |
| ZIP |
78041-9140 |
| OFFICIAL VA NAME |
SOUTH TEXAS HEALTH CARE SYSTEM - LAREDO OUTPATIENT CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LAREDO VA CBOC |
| ST. ADDR. 1 (MAILING) |
6551 STAR COURT |
| CITY (MAILING) |
LAREDO |
| STATE (MAILING) |
TEXAS |
| ZIP (MAILING) |
78041-9140 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: INACTIVE
- NPI: 1578519328
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
OTHER |
| POINTER TO AGENCY |
OTHER |
| STATION NUMBER |
671GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1578519328
-
- CODING SYSTEM: VASTANUM
- ID: 671GE
-
- CODING SYSTEM: CLIA
- ID: 45D1006070
|
