| NPI | 1427531466 |
|---|---|
| Other Name | AVENUE 360 SOUTHWEST |
| Entity Type | Organization |
| Authorized Contact | TEQUILA HENDERSON Revenue Cycle Director 713-426-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2024-05-01 |