NPI | 1861211567 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE C WALZEL VP/CFO 210-334-3724 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-10-09 |
Last Update Date | 2024-10-09 |