| NPI | 1093048548 |
|---|---|
| Doing Business As | CENTROMED PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHUCK WALZEL VP/CFO 210-334-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2019-10-25 |