| NPI | 1427122456 |
|---|---|
| Doing Business As | LANIER STUDENT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CHUCK WALZEL CFO 210-334-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX HBOCS00758-04-00) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX HBOCS00758-04-00) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-07-16 |