| NPI | 1063916799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA NAVARRO CONTRERAS Senior Practice Administrator 940-435-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-11-23 |