Organization
ATASCOSA HEALTH CENTER, INC.
Active
Parent organization
ATASCOSA HEALTH CENTER, INC.
Other names
Live Oak Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATASCOSA HEALTH CENTER, INC.
Authorized official
MONTY SMALL CMPE (CEO)
(830) 569-8940
Entity
Organization
Contact information
Practice address
105 E. THORNTON, THREE RIVERS, TX 78071
(361) 786-3618
(361) 786-3649
Mailing address
310 W OAKLAWN RD, PLEASANTON, TX 78064-4033
(830) 569-8940
(830) 224-6905
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
04/11/2022
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