Organization
FAMILY SERVICE AGENCY
Active
Organization
FAMILY SERVICE AGENCY
Active
Other names
FSA Group Biller
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE M LOPEZ MBA (PRESIDENT AND CEO)
(520) 721-1887
Entity
Organization
Contact information
Practice address
401 N BONITA AVE FL 2, TUCSON, AZ 85745-2750
(520) 721-1887
(520) 721-0069
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 721-0069
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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