| NPI | 1477628394 |
|---|---|
| Doing Business As | DWYER AVENUE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHUCK WALZEL CFO 210-334-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX HBOCS00758-04-00) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2009-07-16 |