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  • 675312
CCN: 675312 NPI: 1043925928 Organization

PALMA REAL

1220 LOOP 459
MATHIS, TX 783681804

Contact Information

  • Phone 3615473318
  • Enumeration Date 2023-01-16
  • Last Updated 2025-10-06

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 18580
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.994332563
censusDivision 7
cbsaActualGeographicLocation 18580
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9870776942
censusDivision 7
cbsaActualGeographicLocation 18580
providerType 38
caseMixIndex 1.0
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 18580
providerType 38
caseMixIndex 1.0
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 18580
providerType 38
caseMixIndex 1.0
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 18580
providerType 38
caseMixIndex 1.0
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 18580
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.98678009
censusDivision 7
cbsaActualGeographicLocation 18580
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9845737985
censusDivision 7
cbsaActualGeographicLocation 18580
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9953263968

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 18580
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 18580
providerType 38
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 18580
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 18580
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99

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