NPI | 1104476431 |
---|---|
Doing Business As | LBU HEALTH CENTER SOUTH |
Entity Type | Organization |
Authorized Contact | ART GARZA Chief Financial Officer 214-540-0331 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-09-18 |
Last Update Date | 2022-01-04 |