Organization
EL CENTRO DEL BARRIO, INC
Active
Other names
CentroMed City Base Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK WALZEL (CFO)
(210) 334-3724
Entity
Organization
Contact information
Practice address
3127 SE MILITARY DR, SUITE 101, SAN ANTONIO, TX 78223-3990
(210) 928-4970
(210) 928-4999
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 334-3700
(210) 922-0162
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120980101
—
TX
05
—
120980102
—
TX
Enumeration date
06/10/2011
Last updated
05/10/2012
Update your record
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