| NPI | 1164069035 |
|---|---|
| Doing Business As | LAREDO COLLEGE SOUTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ELMO LOPEZ CEO 956-718-6259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2024-03-26 |