| NPI | 1649411463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE L MENDEZ Assistant Business Manager 915-757-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX PA03671) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |