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Organization

EL CENTRO DEL BARRIO, INC

Active
Other names
CentroMed Indian Creek Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAWRENCE C WALZEL CPA, MBA (VP/CFO)
(210) 334-3724
Entity
Organization

Contact information

Practice address
5439 RAY ELLISON BLVD, SAN ANTONIO, TX 78242-2219
(210) 922-7000
(210) 457-3392
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
(210) 457-3392

Taxonomy

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

Other

Enumeration date
06/12/2018
Last updated
01/30/2019
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