Organization
VIDA Y SALUD-HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORA TELLEZ CEO (CHIEF EXECUTIVE OFFICER)
(830) 374-2301
Entity
Organization
Contact information
Practice address
308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 78839-4200
(830) 374-2301
(830) 374-9368
Mailing address
308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 78839-4200
(830) 374-2301
(830) 374-9368
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133329603
—
TX
Enumeration date
06/28/2006
Last updated
07/06/2015
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