| NPI | 1841480902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ILENE PAZ CEO 915-859-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2026-05-06 |