Organization
VSHSI LPISD COMMUNITY BASED AND SCHOOL BASED CLINIC
Active
Parent organization
VIDA Y SALUD - HEALTH SYSTEMS, INC.
Other names
VSHSI - LPISDCommunity Based & School Based Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIDA Y SALUD - HEALTH SYSTEMS, INC.
Authorized official
MS. NORA TELLEZ (CHIEF EXECUTIVE OFFICER)
(830) 374-2301
Entity
Organization
Contact information
Practice address
117 E. HWY 57, LA PRYOR, TX 78872
(830) 365-4528
(830) 365-4023
Mailing address
308 S. CESAR CHAVEZ AVE., CRYSTAL CITY, TX 78839
(830) 374-2301
(830) 374-9368
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/23/2010
Last updated
03/08/2016
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