| NPI | 1104669514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE C WALZEL VP/CFO 210-334-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |