| NPI | 1164417085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONOR MARQUEZ CEO 214-651-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2023-03-03 |