TYLER CENTENNIAL VA CLINIC (4425) INSTITUTION (4)

Name	Value
NAME	TYLER CENTENNIAL VA CLINIC
STATE	TEXAS
STREET ADDR. 1	428 CENTENNIAL PKWY
CITY	TYLER
ZIP	75703-7166
OFFICIAL VA NAME	TYLER CENTENNIAL VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 17 PARENT FACILITY PARENT OF ASSOCIATION: DALLAS VA MEDICAL CENTER
BILLING FACILITY NAME	TYLER VA CLINIC
EFFECTIVE DATE/TIME	2021-12-16 00:00:00 STATUS: ACTIVE NPI: 1548929540
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	549GN