| NPI | 1316243405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRTA GARCIA CEO 830-879-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2023-06-13 |