Organization
EL CENTRO DEL BARRIO, INC
Active
Other names
CENTROMED MEDINA BASE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK WALZEL MBA, CPA (CHIEF FINANCIAL OFFICER)
(210) 334-3724
Entity
Organization
Contact information
Practice address
5750 MEDINA BASE RD, SAN ANTONIO, TX 78242-1708
(210) 334-3700
(210) 922-0162
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 334-3711
(210) 922-0162
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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