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  • 676067
CCN: 676067 NPI: 1770972572 Organization

MIRA VISTA COURT

7021 BRYANT IRVIN RD
FORT WORTH, TX 761324243

Contact Information

  • Phone 8173611400
  • Fax 8173611400
  • Enumeration Date 2015-01-15
  • Last Updated 2017-03-16

Taxonomies

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

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9821507162
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9802564842
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9802538758
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9802944726
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 1.0048251289
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 23104
providerType 38
carrierCode 04412
localityCode 28
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 28
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 28

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