Organization
EL CENTRO DEL BARRIO, INC.
Active
Other names
CentroMed SA Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE C WALZEL (VP/CFO)
(210) 334-3724
Entity
Organization
Contact information
Practice address
94 BRIGGS ST STE 400, SAN ANTONIO, TX 78224-1206
(210) 223-3543
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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