Organization
CENTRO DE SALUD FAMILIAR LA FE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY RODARTE (CFO)
(915) 534-7979
Entity
Organization
Contact information
Practice address
700 S OCHOA ST, EL PASO, TX 79901-2936
(915) 534-7979
(915) 534-7601
Mailing address
1314 E. YANDELL, EL PASO, TX 79902
(915) 534-7979
(915) 534-7601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0222X
Critical Care Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136357405
—
TX
Enumeration date
02/03/2006
Last updated
09/12/2024
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