NPI | 1669506952 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT GONZALEZ Chief Operations Manager 915-534-7979 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
261Q00000X (Licence: TX 193200000x) | |
Enumeration Date | 2007-03-16 |
Last Update Date | 2024-04-09 |