| NPI | 1164868998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN E AWALT Executive Director 361-664-0145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2025-09-02 |