| NPI | 1063750669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE CALDWELL Executive Director 8325-485-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX H80CS07502 HRSA ID) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |