NPI | 1528613510 |
---|---|
Doing Business As | CENTROMED SA PEDIATRICS |
Entity Type | Organization |
Authorized Contact | LAWRENCE C WALZEL VP/CFO 210-334-3724 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2022-06-01 |