| NPI | 1366156168 |
|---|---|
| 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 | 2025-01-21 |