| NPI | 1801920632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY RODARTE Chief Financial Officer 915-534-7979 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-09-12 |