Organization
LA CLINICA TEPEYAC, INC
Active
Parent organization
LA CLINICA TEPEYAC, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA TEPEYAC, INC
Authorized official
JIM GARCIA (CEO)
(720) 274-2923
Entity
Organization
Contact information
Practice address
4725 HIGH ST, DENVER, CO 80216-2220
(720) 274-2923
(303) 583-0152
Mailing address
4725 HIGH ST, DENVER, CO 80216-2220
(720) 274-2923
(303) 583-0152
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
11/03/2020
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