NPI | 1366156168 |
---|---|
Doing Business As | LBU-SCHOOL-BASED CLINIC AT CLARA OLIVER |
Entity Type | Organization |
Authorized Contact | LEONOR MARQUEZ CEO 214-540-0302 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-01-06 |
Last Update Date | 2024-06-10 |