| NPI | 1033440243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO ZAMORA CEO 830-879-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2020-02-12 |