| NPI | 1104476431 |
|---|---|
| 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 |