NPI | 1619348927 |
---|---|
Doing Business As | LA CLINICA GUADALUPANA |
Entity Type | Organization |
Authorized Contact | WILLIAM SCHLESINGER CEO 915-533-7057 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-10-13 |
Last Update Date | 2015-10-13 |