CCN: 675124 NPI: 1699013599 Organization

AVIR AT GONZALES

3428 MOULTON RD
GONZALES, TX 786295303

Contact Information

Phone 8306722867
Fax 8306726483
Enumeration Date 2013-01-28
Last Updated 2024-02-26

Taxonomies

Code: 314000000X (Primary) License State: TX License: 134871

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 45

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9805387501

censusDivision 7

cbsaActualGeographicLocation 45

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.980278308

censusDivision 7

cbsaActualGeographicLocation 45

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9850673817

censusDivision 7

cbsaActualGeographicLocation 45

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.01409863

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 45

providerType 38

carrierCode 04412

localityCode 99

AVIR AT GONZALES

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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