Organization
EL CENTRO DEL BARRIO, INC
Active
Other names
CentroMed SA Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE C WALZEL CPA, MBA (VP/CFO)
(210) 334-3724
Entity
Organization
Contact information
Practice address
315 N SAN SABA STE 1075, SAN ANTONIO, TX 78207-3155
(210) 223-3543
(210) 924-1374
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
(210) 924-1374
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
06/01/2022
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