NPI | 1205864774 |
---|---|
Other Name | COMMUNITYCARE--WILLIAM CANNON |
Entity Type | Organization |
Authorized Contact | JOY SLOAN CFO 512-978-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2024-01-24 |