| 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 |