NPI | 1336265669 |
---|---|
Doing Business As | OUR HEALTH - DENTAL |
Entity Type | Organization |
Authorized Contact | MAYELA CASTANON Chief Executive Officer 830-278-5604 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX Z00FM205) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2024-03-26 |