| NPI | 1780923045 |
|---|---|
| Doing Business As | LSCC FAMILY CARE CENTER AT NORTHWEST |
| Entity Type | Organization |
| Authorized Contact | JONATHAN DAVID CALVIN CEO 512-994-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2023-09-18 |