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
815 E YANDELL DR, EL PASO, TX 79902-5331
(915) 351-1557
(915) 351-1642
Mailing address
1314 E YANDELL DR, EL PASO, TX 79902-5529
(915) 534-7979
(915) 534-7601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
193200000X
TX
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136357405
—
TX
Enumeration date
03/16/2007
Last updated
09/12/2024
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