| NPI | 1902605678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ALBERTY Executive Director 817-693-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center, Community Health | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 261QP2300X Clinic/Center, Primary Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |