NPI | 1073820023 |
---|---|
Entity Type | Organization |
Authorized Contact | JOY SLOAN CFO 512-978-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-09-10 |
Last Update Date | 2024-07-11 |