NPI | 1295601052 |
---|---|
Entity Type | Organization |
Authorized Contact | HUNG-VY NGUYEN CEO 210-233-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2025-10-16 |
Last Update Date | 2025-10-16 |