| NPI | 1174333637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG-VY M NGUYEN CEO 210-233-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |