Organization
FRONTERA HEALTHCARE NETWORK
Active
Other names
Frontera Healthcare Network - Eden Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAM R KLEIBRINK (EXECUTIVE DIRECTOR)
(325) 869-5500
Entity
Organization
Contact information
Practice address
212 JACKSON STREET, EDEN, TX 76837-0246
(325) 869-8471
Mailing address
604 EAKER, PO BOX 989, EDEN, TX 76837-0989
(325) 869-5500
(325) 869-5692
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
05/22/2017
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