NPI | 1841433562 |
---|---|
Doing Business As | CENTROMED SARAH E. DAVIDSON CLINIC |
Entity Type | Organization |
Authorized Contact | CHUCK WALZEL CFO 210-334-3724 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX HBOCS007580400) |
Enumeration Date | 2009-04-10 |
Last Update Date | 2012-05-09 |