| NPI | 1063858413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GONZALES Chief Operations Officer 915-534-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-05-16 |