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Organization

CENTRO SAN VICENTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA ILENE PAZ (CEO)
(915) 859-7545
Entity
Organization

Contact information

Practice address
13017 PERICO ST, SAN ELIZARIO, TX 79849-1517
(915) 851-0999
(915) 851-6060
Mailing address
PO BOX 1517, SAN ELIZARIO, TX 79849-1517
(915) 851-0999
(915) 851-6060

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130880102
TX
Enumeration date
11/01/2006
Last updated
05/06/2026
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