| NPI | 1316126675 |
|---|---|
| Doing Business As | CENTROMED |
| Entity Type | Organization |
| Authorized Contact | CHUCK WALZEL CFO 210-334-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX HBOCS00758-04-00) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207Q00000X Family Medicine (Licence: TX HBOCS00758-04-00) | |
| 208M00000X Hospitalist (Licence: TX HBOCS00758-04-00) | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2009-07-16 |