Organization
FRONTERA HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAM KLEIBRINK CEO (CHIEF EXECUTIVE DIRECTOR)
(325) 869-5500
Entity
Organization
Contact information
Practice address
551 EAKER STREET, EDEN, TX 76837-0889
(325) 869-8811
(325) 869-5692
Mailing address
P.O. BOX 989, EDEN, TX 76837-0989
(325) 869-5500
(325) 869-5692
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188389401
—
TX
Enumeration date
07/26/2007
Last updated
03/04/2019
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