Organization
LA ESPERANZA CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE CASTANEDA (CFO)
(325) 947-5623
Entity
Organization
Contact information
Practice address
1610 S CHADBOURNE ST, SAN ANGELO, TX 76903-8510
(325) 658-5339
(325) 659-8534
Mailing address
1610 S CHADBOURNE ST, SAN ANGELO, TX 76903-8510
(325) 658-5339
(325) 659-8534
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00433T
BCBS
—
05
—
111604802
—
TX
Enumeration date
08/09/2005
Last updated
01/08/2024
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