NPI | 1154149086 |
---|---|
Entity Type | Organization |
Authorized Contact | HUNG-VY NGUYEN CEO 210-233-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-09-30 |