| NPI | 1538264429 |
|---|---|
| Doing Business As | CENTROMED SOUTH PARK MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHUCK WALZEL Chief Financial Officer 210-334-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX H76HA00124) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-10-11 |