| NPI | 1699841569 |
|---|---|
| Doing Business As | CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHUCK WALZEL VP/CFO 210-334-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: TX HBOCS00758-04-00) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX HBOCS00758-04-00) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2019-10-25 |