NPI | 1770764300 |
---|---|
Other Name | LSCC ALL PROVIDERS |
Entity Type | Organization |
Authorized Contact | RHONDA MUNDHENK CEO 512-868-1124 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-11-26 |
Last Update Date | 2014-10-08 |