| NPI | 1215473707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUNA CEO 915-859-7545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-03-21 |