| NPI | 1871236497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTY SMALL Chief Executive Officer 830-569-8940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2025-08-28 |