SOUTH ENTERPRIZE VA CLINIC (4105) INSTITUTION (4)

Name	Value
NAME	SOUTH ENTERPRIZE VA CLINIC
STATE	TEXAS
STREET ADDR. 1	205 SOUTH ENTERPRIZE PARKWAY
CITY	CORPUS CHRISTI
ZIP	78405-4118
OFFICIAL VA NAME	SOUTH ENTERPRIZE VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: HARLINGEN VA CLINIC
BILLING FACILITY NAME	CORPUS CHRISTI VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1013324078
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	740GH