Organization
LA CLINICA TEPEYAC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM GARCIA (EXECUTIVE DIRECTOR)
(303) 458-5302
Entity
Organization
Contact information
Practice address
5075 LINCOLN STREET, DENVER, CO 80216-2015
(303) 458-5302
(303) 433-7452
Mailing address
5075 LINCOLN STREET, DENVER, CO 80216-2015
(303) 458-5302
(303) 433-7452
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2009
Last updated
11/03/2020
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