NPI | 1710108923 |
---|---|
Former Legal Business Name | URBAN INTER-TRIBAL CENTER OF TEXAS |
Former Legal Business Name | DALLAS INTER-TRIBAL CENTER |
Entity Type | Organization |
Authorized Contact | OMER TAMIR Chief Executive Officer 214-941-1050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX PA02052) |
Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: TX 12584) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2023-04-12 |