Organization
K. WEST PHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR VIELMA (ADMINISTRATOR)
(830) 776-3839
Entity
Organization
Contact information
Practice address
2508 FOXPLACE DR. SUITE B, EAGLE PASS, TX 78852
(830) 776-3839
(830) 757-4330
Mailing address
2508 FOXPLACE DR. SUITE B, EAGLE PASS, TX 78852
(830) 776-3839
(830) 757-4330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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