NPI | 1346907607 |
---|---|
Entity Type | Organization |
Authorized Contact | AUGUSTIN DELAGARZA COO 361-814-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-11-22 |
Last Update Date | 2025-04-29 |