Organization
EL CENTRO DEL BARRIO, INC
Active
Other names
CentroMed Family First Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE C WALZEL (VP/CFO)
(210) 334-3724
Entity
Organization
Contact information
Practice address
9135 SCHAEFER RD STE 4, CONVERSE, TX 78109-1980
(210) 922-7000
(210) 928-9699
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
(210) 928-9699
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
01/30/2019
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