| NPI | 1679162580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GREENBERG Chief Operating Officer 976-670-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |