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Organization

COMMUNITY HEALTH DEVELOPMENT, INC

Active
Other names
Our Health - Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MAYELA CASTANON (CHIEF EXECUTIVE OFFICER)
(830) 278-5604
Entity
Organization

Contact information

Practice address
200 EVANS ST, UVALDE, TX 78801-5142
(830) 278-7105
(830) 278-1836
Mailing address
908 EVANS ST STE A, UVALDE, TX 78801-6052
(830) 278-5604
(830) 278-1836

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
Z00FM205
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111438102
TX
Enumeration date
03/21/2007
Last updated
03/26/2024
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